Relocate Medical Ward for Patient Privacy

Z2DA--Relocate Medical Ward for Patient Privacy Project 589A4-21-100 at Harry S. Truman Memorial Veterans Hospital: design is to renovate space on the Third Floor of the hospital to create a new Ward containing 24 new Inpatient Medical Beds designed to VA Patient Privacy Standards and is to include all associated nursing support spaces to operate as a standalone ward. TAs this space completes the administrations initiative to co-locate all bedded patient rooms to a common floor in the hospital, offices and work rooms for doctors and non-medical support staff are also to be added on the south portion of the renovated area. Work includes demolition of an existing CLC patient ward and existing office spaces. Demolition will be of all equipment, millwork, floor and ceiling finishes, walls and all mechanical, plumbing, electrical and technology systems located within the existing space. Demolition also includes removal of an existing steel frame and concrete deck balcony on exterior of building. Work will include remediation of any hazardous materials discovered during demolition to include asbestos finishes or wraps on mechanical piping. Following demolition, a survey will be conducted of the existing structural floor to determine floor levelness and development of remediation plan to correct prior to new framing being installed. Work will include drilling of new piping and ductwork penetrations in both the 3rd floor and the 4th floor/roof slabs to accommodate new mechanical, plumbing, and electrical systems as needed. As these slabs are 2-way reinforced concrete slabs with thickened capitals, scanning for rebar and structural reinforcement in the form of carbon fiber will need to be installed. This work will require work from below the slab which will interfere with ongoing hospital operations on the floor below and will require coordination with the facility and temporary removal and reinstallation of utilities in the ceilings of these spaces. Work will include the erection of new gypsum walls which will include installation of new doors, insulation equipment and fixtures. All new finishes to include ceilings, flooring, paint, and wall paints. In addition, new wall protection, wall protection and signage will be installed in the remodeled space. Work will include the addition of a roof mounted air handling unit and all new steam and chilling water lines to support the equipment. New ductwork and piping will be installed through renovated space to supply the spaces. Mechanical systems shall tie into the existing building automation system. Certain spaces have specialized air volume and pressure requirements, which will necessitate extra equipment and controls. Work will include all new plumbing supply and waste lines to be run. Coordination of the these lines with the existing mains and valving is required as well installation of all plumbing fixtures. Some routing and connections of service lines will require work in other areas of the hospital. Work will include creation of a new electrical closet served by existing building normal, critical and equipment power feeds. The new closet will include transformers and panelboards to distribute the power needed for the entire project.

1 Hospital, Renovation, 24 Levels.

Division 02 -	Existing Conditions, Subsurface Investigation.
Division 03 -	Concrete, Concrete Forming, Cast-in-Place Concrete, Precast Concrete.
Division 04 -	Masonry, Unit Masonry.
Division 05 -	Metals, Structural Metal Framing, Metal Joists, Metal Support Assemblies, Healthcare Metal Supports.
Division 06 -	Wood, Plastics, and Composites, Rough Carpentry, Finish Carpentry.
Division 07 -	Thermal and Moisture Protection, Dampproofing and Waterproofing, Thermal Protection, Weather Barriers.
Division 08 -	Openings, Doors and Frames, Specialty Doors and Frames, Entrances, Storefronts, and Curtain Walls, Windows, Louvers and Vents.
Division 09 -	Finishes, Plaster and Gypsum Board, Tiling, Acoustical Ceilings, Flooring, Resilient Flooring, Painting.
Division 10 -	Specialties, Compartments and Cubicles, Toilet Compartments, Partitions, Service Walls, Patient Bed Service Walls, Wall and Door Protection, Toilet, Bath, and Laundry Accessories, Fire Protection Specialties, Fire Protection Cabinets, Fire Extinguishers, Storage Assemblies, Protective Covers.
Division 11 -	Equipment, Mercantile and Service Equipment, Vending Equipment, Foodservice Equipment, Ice Machines, Cleaning and Disposal Equipment, Healthcare Equipment, Medical Sterilizing Equipment, Examination and Treatment Equipment, Patient Care Equipment, Operating Room Equipment, Solid Waste Handling Equipment.
Division 12 -	Furnishings, Window Blinds, Casework, Furniture, Seating, Institutional Furniture, Healthcare Furniture.
Division 13 -	Special Construction, Radiation Protection.
Division 14 -	Conveying Equipment.
Division 21 -	Fire Suppression, Fire-Suppression Sprinkler Systems, Fire-Extinguishing Systems.
Division 22 -	Plumbing, Instrumentation and Control for Plumbing, Plumbing Piping, Plumbing Equipment, Healthcare Plumbing Fixtures, Drinking Fountains and Water Coolers, Gas and Vacuum Systems for Laboratory and Healthcare Facilities, Compressed-Air Systems for Laboratory and Healthcare Facilities, Vacuum Systems for Laboratory and Healthcare Facilities, Gas Systems for Laboratory and Healthcare Facilities, Chemical-Waste Systems for Laboratory and Healthcare Facilities, Processed Water Systems for Laboratory and Healthcare Facilities.
Division 23 -	Heating, Ventilating, and Air Conditioning (HVAC), Instrumentation and Control for HVAC, HVAC Piping and Pumps, HVAC Air Distribution.
Division 25 -	Integrated Automation.
Division 26 -	Electrical, Instrumentation and Control for Electrical Systems, Substations, Interior Lighting, Emergency Lighting, Exit Signs, Special Purpose Lighting, Healthcare Lighting, Exterior Lighting.
Division 27 -	Communications, Structured Cabling, Data Communications, Voice Communications, Audio-Video Communications, Distributed Audio-Video Communications Systems, Paging Systems, Public Address Systems, Intercommunications and Program Systems, Healthcare Intercommunications and Program Systems, Healthcare Communications and Monitoring Systems.
Division 28 -	Electronic Safety and Security, Electronic Access Control and Intrusion Detection, Electronic Surveillance, Fire Detection and Alarm, Radiation Detection and Alarm.
Division 31 -	Earthwork, Site Clearing, Grading, Soil Treatment.
Division 32 -	Exterior Improvements, Bases, Ballasts, and Paving, Flexible Paving, Rigid Paving, Curbs, Gutters, Sidewalks, and Driveways, Paving Specialties, Parking Bumpers, Pavement Markings, Fences and Gates, Planting Irrigation, Planting.
Division 33 -	Utilities, Water Utilities, Sanitary Sewerage Utilities, Storm Drainage Utilities.