Sutter Health CPMC Van Ness Hospital Occupancy Manual 18 0012632 Dec11
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Occupancy Manual
YOUR GUIDE TO THE VAN NESS CAMPUS
Welcome to the
Van Ness Campus
We hope you are as excited as we are to begin work at Van Ness
campus! This manual is designed to be your “go-to guide” to help
orient you to our new facility.
Retaining the “heart” of what we do
The opening of the new Van Ness campus is the culmination of
years of hard work, commitment and anticipation. It will continue
the legacy of being the neighborhood hospital in San Francisco
and retain the “heart” that has made our California and Pacific
campuses special for patients and staff alike.
Balancing safety, comfort and
sustainability
Photo at left: Van Ness Hospital Entryway
by Bill Posner. Above: Render of Van Ness
Hospital and Medical Office Building.
Information deemed reliable through
March 2o19 © Sutter Health
The new building balances the safety and technical needs of staff,
physicians, and volunteers with the comfort and safety of our
patients. The modernized campus is seismically safe and certified
by Leadership in Energy and Environmental Design (LEED), a
globally recognized sustainability program.
The layout of the building employs a front of the house (onstage)
and back of the house (offstage) concept. Front of the house
refers to all areas that patients and visitors will see, and where
we are “onstage,” and helps create a positive environment for our
patients and visitors. Back of house includes staff-only hallways and
elevators. This design will help us put our best foot forward.
Van Ness campus will open on March 2nd, 2o19. We are so pleased
to be able to create the next generation in health care services for
San Francisco.
—Your CPMC Leadership and New Hospitals Transition Team
ii | Occupancy Manual
Occupancy Manual | iii
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Table of Contents
General Building Information
Safety and Security
Telephone Numbers. . . . . . . . . . . . . . . . . 2
Hours of Operation. . . . . . . . . . . . . . . . . . 3
Badges & Access. . . . . . . . . . . . . . . . . . . 4
Elevators . . . . . . . . . . . . . . . . . . . . . . . . . 5
Shared Spaces . . . . . . . . . . . . . . . . . . . . 5
Staff Lockers . . . . . . . . . . . . . . . . . . . . . . 5
Conference Rooms . . . . . . . . . . . . . . . . . 6
Departments and Divisions by Floor. . . . . 6
Floor Plans. . . . . . . . . . . . . . . . . . . . . . 7-15
Sustainability . . . . . . . . . . . . . . . . . . . . . 16
Building Reminders . . . . . . . . . . . . . . . . 16
Security Awareness. . . . . . . . . . . . . . . .
Crash Carts . . . . . . . . . . . . . . . . . . . . . .
Security. . . . . . . . . . . . . . . . . . . . . . . . .
Door Alarms and Stairwell Access. . . . .
Emergency Management EOP. . . . . . . .
Communications in a Disaster. . . . . . . .
Hospital Command Center. . . . . . . . . . .
Code Team . . . . . . . . . . . . . . . . . . . . . .
Standardized Emergency Codes. . . . . .
Medical Alerts . . . . . . . . . . . . . . . . . . . .
Fire Safety . . . . . . . . . . . . . . . . . . . . . . .
MRI Suite Safety. . . . . . . . . . . . . . . . . . .
Injury Reporting. . . . . . . . . . . . . . . . . . .
Workplace Violence Reporting. . . . . . . .
ADA Information. . . . . . . . . . . . . . . . . . .
Hand Hygiene . . . . . . . . . . . . . . . . . . . .
Service Dogs. . . . . . . . . . . . . . . . . . . . .
Transportation and Parking
Transportation and CPMC Shuttles. . . . 18
Parking . . . . . . . . . . . . . . . . . . . . . . . . . 19
Support Services
Department Telephone Directory. . . . . . 21
Volunteers . . . . . . . . . . . . . . . . . . . . . . . 21
Spiritual Care and Chaplaincy Services. 21
Patient Relations . . . . . . . . . . . . . . . . . . 21
Interpreter Services . . . . . . . . . . . . . . . . 22
Newborn Connections . . . . . . . . . . . . . 22
Respiratory Etiquette Stations . . . . . . . . 22
Wheelchairs and Gurneys . . . . . . . . . . . 22
Lost and Found . . . . . . . . . . . . . . . . . . . 22
iv | Occupancy Manual
Equipment and Furnishings
24
24
24
24
25
25
26
26
26
29
30
31
31
31
32
32
33
Building Amenities
Information Desks . . . . . . . . . . . . . . . . .
Waiting Areas. . . . . . . . . . . . . . . . . . . . .
Restroom Locations. . . . . . . . . . . . . . . .
Lactation Lounge. . . . . . . . . . . . . . . . . .
Water Cooler / Bottle Filling Stations . . .
Dining Services . . . . . . . . . . . . . . . . . . .
Catering Services. . . . . . . . . . . . . . . . . .
Room Reservations . . . . . . . . . . . . . . . .
Guest Internet Access (Wi-Fi) . . . . . . . .
Bicycle Storage . . . . . . . . . . . . . . . . . . .
Ambassador Services Suite. . . . . . . . . .
Patient Entertainment / Education. . . . .
How to Use Pillow Speaker . . . . . . . . . .
35
35
35
35
35
35
35
35
35
36
36
36
36
Ergonomics. . . . . . . . . . . . . . . . . . . . . .
Office Spaces . . . . . . . . . . . . . . . . . . . .
Kronos Time Clocks. . . . . . . . . . . . . . . .
Multi-function Printers . . . . . . . . . . . . . .
VOIP Telephones. . . . . . . . . . . . . . . . . .
Fax Machines. . . . . . . . . . . . . . . . . . . . .
Phone Operators. . . . . . . . . . . . . . . . . .
Vocera. . . . . . . . . . . . . . . . . . . . . . . . . .
Nurse Call System. . . . . . . . . . . . . . . . .
HIPAA Containers . . . . . . . . . . . . . . . . .
Patient Lift. . . . . . . . . . . . . . . . . . . . . . .
Sustainable Waste. . . . . . . . . . . . . . . . .
Temperature Monitor. . . . . . . . . . . . . . .
Pneumatic Tube. . . . . . . . . . . . . . . . . . .
39
39
39
39
39
40
40
40
40
40
40
41
41
41
Supplies and Restocking
Loading Dock. . . . . . . . . . . . . . . . . . . . .
Supply Chain. . . . . . . . . . . . . . . . . . . . .
Medical Gas Area. . . . . . . . . . . . . . . . . .
Durable Medical Equipment (DME). . . . .
Pharmacy. . . . . . . . . . . . . . . . . . . . . . . .
Linen . . . . . . . . . . . . . . . . . . . . . . . . . . .
Equipment Cleaning. . . . . . . . . . . . . . . .
Asset Management . . . . . . . . . . . . . . . .
Staff Duress. . . . . . . . . . . . . . . . . . . . . .
Stationery, Forms, and Brochures . . . . .
43
43
43
43
43
43
44
44
44
45
GENERAL BUILDING
INFORMATION
Telephone Numbers
Plant Operations. . . . . . . . . . . . . . . . . . . . . . . . .
Plant Operations Internal . . . . . . . . . . . . . . . . . .
PT/OT/ST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Radiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Radiology Internal. . . . . . . . . . . . . . . . . . . . . . . .
Respiratory. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Surgical Services . . . . . . . . . . . . . . . . . . . . . . . .
Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
VNC Command Center. . . . . . . . . . . . . . . . . . . .
VNC Executive Command Center. . . . . . . . . . . .
VNC Patient Transition IS Command Center. . . .
VNC Patient Transition Issue Tracking. . . . . . . . .
Volunteer Services . . . . . . . . . . . . . . . . . . . . . . .
Nursing Stations
3 Floor Emergency Adult . . . . . . . . . . . . . . . . . .
3 Floor Emergency Ped . . . . . . . . . . . . . . . . . . .
4 Floor ACU Pod 1. . . . . . . . . . . . . . . . . . . . . . .
4 Floor ACU Pod 2. . . . . . . . . . . . . . . . . . . . . . .
4 Floor GI/IES (control desk). . . . . . . . . . . . . . . .
4 Floor GI/IES. . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Floor IR/CCL/EP (cntrl) . . . . . . . . . . . . . . . . . .
4 Floor OR. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Floor PACU. . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Floor Antepartum Testing. . . . . . . . . . . . . . . . .
5 Floor Labor and Delivery . . . . . . . . . . . . . . . . .
5 Floor NICU . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Floor ICU. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 West. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 East. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 PICU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 Floor Nursery. . . . . . . . . . . . . . . . . . . . . . . . . .
8 Floor Post Partum. . . . . . . . . . . . . . . . . . . . . .
9 Floor East Med/Surg. . . . . . . . . . . . . . . . . . . .
9 Floor West Med/Surg . . . . . . . . . . . . . . . . . . .
9 Floor TICU. . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 Floor East Med/Surg. . . . . . . . . . . . . . . . . . .
10 Floor West Med/Surg . . . . . . . . . . . . . . . . . .
Need to dial an extension?
600 numbers use 6 plus last four digits
ie. 415-600-0837 = 60837
415-600-7900
415-600-6390
415-600-3399
415-600-3232
415-600-8755
415-600-6589
415-600-0837
415-600-3288
415-600-4700
415-600-9400
415-600-9410
415-600-9500
415-600-9510
415-600-3402
415-600-3333
415-600-4444
415-600-3480
415-600-8980
415-600-3478
415-600-3570
415-600-8900
415-600-3288
415-600-3482
415-600-6232
415-600-6242
415-600-6211
415-600-3363
415-600-8870
415-600-0740
415-600-0720
415-600-6434
415-600-6437
415-600-8910
415-600-8930
415-600-8920
415-600-8810
415-600-8830
Van Ness Entrance (L1)
7am–7pm Everyday
Badge after hours
Driveway (L2)
5am–8pm Mon-Fri
7am–7pm Sat-Sun
Open every day
Post Street Stairs (L2)
24 hours a day
Staff & Badge only
Post Street (L2)
7am–7pm
Badge after hours
Geary Street (L2)
24 hours a day
Staff & Badge only
Emergency (L3
24 hours a day
Open every day
Chuck Williams Café (L2)
6:30am–6:30pm Mon–Fri
6:30am–2:30pm Sat–Sun
Closed after hours
Coffee Shop (L2)
6:00am–6:00pm Mon–Fri
6:30am–2:30pm Sat–Sun
Closed after hours
Loading Dock (L3)
5am–8pm Mon–Fri
Other hours by appointment only
Mailroom (L1)
Room No. 111A
24 hours a day
Open everyday
Badge required
Newborn Connections
1100 Van Ness
10am–4pm Mon–Fri
10am–2pm Sat
Closed on Sunday
Health & Healing Store (L2)
9am–6pm Mon–Fri
10am–4pm Sat
Walgreens Pharmacy
1301 Franklin Street
9am–9pm Mon–Fri
10am–5pm Sat, Sun
CVS Pharmacy
1285 Sutter Street
9am–7pm Mon–Fri
10am–5pm Sat–Sun
Walgreens Pharmacy
1100 Van Ness
Coming Soon
POST ST
2, 3, 76X
Main Hospital
Medical Office Building
Main Hospital
GEARY ST
Medical
Office Building
Tunnel (Parking Level 3)
Building Entrance
38, 38R
VAN NESS
02 | Occupancy Manual • General Building Information
Hours of Operation
415-600-3333
415-600-4444
415-600-6000
415-600-0837
415-600-3676
415-600-1458
415-600-2600
415-600-1233
415-600-7900
415-600-8653
415-600-8970
415-600-3504
415-600-8860
415-600-2740
415-600-3741
415-600-0710
415-600-2200
415-600-8770
415-600-3232
415-600-8752
415-600-3273
415-600-9425
415-600-3333
415-600-4444
415-600-3248
415-600-3222
415-600-3224
415-600-3324
415-600-2070
415-600-8990
415-600-6000
415-600-3674
415-600-8751
415-600-2229
415-600-6509
415-600-1169
415-600-1804
415-600-3676
855-711-9450
415-600-8866
415-600-3280
415-600-3202
415-600-2110
FRANKLIN
Emergency. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency Pediatrics. . . . . . . . . . . . . . . . . . .
Main Hospital. . . . . . . . . . . . . . . . . . . . . . . . . .
Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Admitting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Administration . . . . . . . . . . . . . . . . . . . . . . . . . .
Ambassador Suite . . . . . . . . . . . . . . . . . . . . . . .
Bed Control . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Biomed Engineering. . . . . . . . . . . . . . . . . . . . . .
Biomed Eng Internal. . . . . . . . . . . . . . . . . . . . . .
Cardiology (Non-Invasive). . . . . . . . . . . . . . . . . . . . . .
Case Management. . . . . . . . . . . . . . . . . . . . . . .
Cashier. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Central Distribution. . . . . . . . . . . . . . . . . . . . . . .
Chaplain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Child Life Srvs . . . . . . . . . . . . . . . . . . . . . . . . . .
Clinical Lab. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Clinical Lab Internal . . . . . . . . . . . . . . . . . . . . . .
CT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CT Internal. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dialysis (in-patient). . . . . . . . . . . . . . . . . . . . . . .
Discharge Lounge . . . . . . . . . . . . . . . . . . . . . . .
Emergency. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Emergency Pediatrics. . . . . . . . . . . . . . . . . . . . .
ED Registration. . . . . . . . . . . . . . . . . . . . . . . . . .
Food & Nutrition. . . . . . . . . . . . . . . . . . . . . . . . .
Food & Nutrition Internal. . . . . . . . . . . . . . . . . . .
Graduate Medical Education. . . . . . . . . . . . . . . .
Interpreter Services. . . . . . . . . . . . . . . . . . . . . . .
Loading Dock. . . . . . . . . . . . . . . . . . . . . . . . . . .
Main Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . .
MRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MRI Internal . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Newborn Connections . . . . . . . . . . . . . . . . . . . .
Nursing Administration. . . . . . . . . . . . . . . . . . . .
Nursing Supervisor. . . . . . . . . . . . . . . . . . . . . . .
Parking Office. . . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Access. . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Advocates . . . . . . . . . . . . . . . . . . . . . . .
Patient Advocates Internal.. . . . . . . . . . . . . . . . .
Patient Relations. . . . . . . . . . . . . . . . . . . . . . . . .
Pharmacy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pharmacy NICU. . . . . . . . . . . . . . . . . . . . . . . . .
ER Entrance
Driveway Entrance
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 03
General Entry Examples:
Badge Access
All exterior doors with card readers
All back of house space (hallways, etc.)
Multi-disciplinary / Conference Rooms
Consult Rooms
Locker Rooms
Emergency Department
Imaging Entrance
Patient Floors
(unless otherwise specified)
Service Elevators
Restricted Area Examples:
Badge Clearance Required
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Administrative Suite
Admitting
Biomedical Engineering
Clean/Soil Utility Room
Clinical Lab
Food and Nutrition Area
Materials Mgmt/Supply Chain
Medical Equipment Rooms
Medrooms
Morgue
MRI Suites
Nourishment Rooms
Nursery/SCN
PBX
Pharmacy
PT/OT Area
Security
SPD, OR, PACU/ACU
04 | Occupancy Manual • General Building Information
Visitor Badges
Elevators
Staff Lockers
Visitors and vendors who are coming to the hospital will be
required to wear a visitor badge between 8pm and 7am. They may
sign-in and receive badges at the Security Desk on the 3rd Floor
Emergency Entrance.
There are three sets of elevators on the campus. There are six
public elevators, requiring no badge. Staff, volunteers and
physicians can use the four service elevators. Finally, there are
four to five dedicated patient transport elevators, only use these
elevators when transporting a patient.
Lockers are available for staff use in department areas.
Photo identification is required for those 18 years and older.
Children without an ID will also receive a badge as long as they are
accompanied by an adult.
If someone needs assistance
to enter the building
Should an individual arrive after hours at the Van Ness or Post
Street entrance and need assistance (ADA accommodation), he/she
should use the video phone at the entrance to contact Security. A
security officer will then assist the individual into the building.
Personnel ID Badges
Providers, staff and volunteers must wear their hospital identification badge while on campus. Badges are required for identification
and to gain access to non-public areas and devices.
Staff must tap their badge to the respective device, to activate
the corresponding system.
• Registry
staff is required to show registry ID before
being issued a badge. Hospital issued badges must be
return to the charge nurse at the end of the shift.
• Internal
stairwells may be used for exiting the building; however,
badge access is required on the ground floor for re-entry.
• You
will need your badge if you are moving
from one floor to another.
• Do
not let anyone use your badge.
• Pay
attention to your surroundings when badging
in, and ensure that no one enters behind you.
• If
you forgot your badge, go to the Security Office
on 1st Floor for a temporary badge.
Shared Spaces
• All
lockers will be day use only.
accept standard padlocks.
• Department managers are responsible for distribution.
• Lockers
Department Lockers
Location
Central Sterile
2273, 2275
Clinical Lab
1427, 1428
Emergency Dept
3374
Engineering
2302, 2304
Environmental Service
2251, 2253
Inter-disciplinary workrooms are individual computer workstations in a shared workroom environment. Workstations are not to
be “claimed” for any specific individual use. Practice shared work
space etiquette; keep the volume down, no eating and clean up after
yourself.
Food Service/ Kitchen
1530, 1632
ICU
6053, 6055
Imaging
3540, 3542
Consult rooms are designed for providers to have private conversations with patient family member(s) and significant others.
Rooms may be locked; request keys from the charge nurse. Please
clean the room after every use.
Interpreters
2856
Invasive Services / Surgery
4202, 4204
Labor & Delivery
5030, 5172, 5174
Family rooms are public areas for family members to sit and
gather, outside the patient room.
Med Surg / Acute Care
9063, 10063
Pathology
1322
Patient Transport
1206
Pediatrics
7063
Pharmacy
1629
Postpartum
8300A
PT/OT
9067
Residents
C610A
Respiratory Therapy
6210B
Security
1303B
Volunteers
1651
Van Ness is designed as a shared work space.
Multi-disciplinary workrooms are conference-style rooms on
patient care floors. These rooms accommodate ten people sitting
around a rectangular conference table and may be used for small
group meetings, education sessions and so forth. The rooms are
equipped with a large wall monitor and teleconferencing.
There are six On-Call rooms, 5344, 5362, 5364, 6433, 6515 and
653o (ADA), available for scheduling. Contact Support Services at
415-6oo-79oo or use the Online Room Scheduling Portal at
http://dcpwdbs405/virtualems/ to reserve a room up to a week
in advance. Same-day or after-hours requests can be directed to
security.
Staff lounges are for non-physician staff. Nursing staff is responsible for cleaning the coffee maker.
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 05
Conference Room Reservations
Conference Rooms
There are conference rooms on the 1st, 2nd and 3rd floors, available
for hospital and public use:
Conference rooms are available on the patient care floors for
patient care team use.
Room (Max. Capacity, Joined Capacity)
Floor conference rooms are dedicated to the floor. Oversight and
scheduling of these rooms lie with the Nurse Manager. In general,
these can be used for small classes, in-services and department
meetings.
312 A (10)
110 B (75)
312 B/C (120/120, 240)
270 A/B (40/40, 80)
3180 (10)
The Van Ness Hospital is a 11-story, 274-bed, full-service medical
center with an emergency department and supporting services,
including imaging services, and laboratory. The building is thoughtfully designed to enhance patient comfort, be environmentally
conscience, be seismically safe, and support current and future
technologies. The department phone directory is on page 02.
Each room is equipped with large monitors and teleconferencing.
Rooms will be locked after hours, by Security, and reopened by
Security. There will be video displays outside of these rooms that
will provide meeting schedules.
Floor 1o
Floor 9
Executive
Administration
Graduate Medical
Education
9 West (28):Med/Surg
9 East (23):Med/Surg/Oncology
TICU(9)
Post-Partum (44)
Floor 6
ICU (36)
Floor 4
Ambassador Suite
Therapy Gym
7 West (13): Pediatrics
Floor 5
Medical Staff Services
1o East (28) Med/Surg
Cardiovascular
Floor 7
LDR (2o)
OR (13)
Floor 3
ED (32 & 4 holding)
Floor 2
Support
Services*
C Section (3)
Floor 1
Pharmacy
Lab/
Pathology
Dialysis
Workroom
06 | Occupancy Manual • General Building Information
Shuttle Elevators to
Level 3, Parking 2, 3
Motor
bikes
Delivery
Parking
Clinical
Lab
Staff
Lounge
Pathology
Food & Nutrition
Administration
Emergency
Food
Security
/ PBX
Operators
ER Parking
Nursing Admin
Patient
Discharge
Parking
Patient
Discharge
PT/OT/SP
PICU (8)
Patient
Transport
Elevators
Transfusion
Staff
Lounge
Pharmacy
Nurse
Staffing
Volunteer
Med
Pickup
Dialysis
Work Mail
Room Room
Service
Elevators
Child Life
Retail
Kitchen
Loading Dock
Patient Access
Services
Security
Services
NICU (35)
Non-Invasive
Cardiology (3)
CCL/EP/IR (6)
Ramp Up to
Post Street Exit
On-Call Rooms
Ante-Partum (6)
Imaging [MRI(2), CT(3),
XRay(2), Fluoro(2), US(5), Nuc Med(3)]
Conference
Rooms
Kitchen
Autopsy
EEG Workroom
Respiratory Therapy /
Pulmonary Function
SPD
Dish
Room
Well Baby Nursery (4o)
7 East (12): Pediatrics
GI / IES (7)
Morgue
P1 Parking
1o West (32) Med/Surg
Transplant/Complex GI
Floor 8
Motorcycle
Parking
Ramp Down to P2, P3
Departments and Divisions by Floor
To reserve a conference room, go to the on-line room scheduling
portal at http://dcpwdbs405/virtualems/.
Floor 11
Parking
Services
110 A (20)
Food
Storage
Technology
Room
Media
Services
Nurse
Staffing
ACU (39)
Conference Rooms
Morgue
Patient
Transport
Media
Services Emer.
Command
Center
110B
v
Shuttle Elevators to Level
1, 2, Parking 2, 3
Lobby
Antepartum Testing
PACU (31)
Patient Relations/
Interpreter Services
Bicycle
Storage
Physician Lounge
Cafeteria
Discharge
Meditation
Conference
Room
First Floor
Bicycle Storage
Blood Transfusion
Emergency Command Center
Food Prep
Morgue
Volunteer Offices
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 07
Meditation
Lockers
/ Lounge
Physician
Dining
Ramp Down to P1, P2, P3
Trauma
Cardiac
Bed
Repair
Sterile
Processing
Decontam
Entrance
EMS
Reception
Sterile
Processing
Clean
Entrance
Staff
Lockers
Main Entry
Lobby
Patient
Transport
Elevators
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Trauma
Ortho/
Cast
Emergency
Triage
Treatment
Wait Room
Pediatrics
Security
Desk
Information
Health &
Healing
Center (Gift
Shop)
Fluoroscopy
XRay
XRay
Clean
Ultrasound
Suite
CT
Scan
Stress
Test
Vascular
Treatment
Treatment
Technician
Work Rooms
CT
Scan
Nuclear
Medicine
Waiting
Gowned
Patient
Transport
Elevators
Public
Elevators
Loading
Dock
Elevators to
Parking
Storage Med
Gas
Second Floor
Third Floor
Bed Repair
Biomedical Engineering
Cafeteria
Cart Case Staging
Conference Rooms
Main Lobby
Physician Dining
Ambulance Parking
Conference Rooms
Imaging
MRI
Hold
Patient
Vending
Conference
Rooms
270A 270B
MRI
Imaging
CT
Scan
3C
Treatment
Peds
Fluoroscopy
Imaging
Administration
Treatment
Treatment
Soiled
3A
Imaging
Play Area
Peds
Reception
Receiving
PET /
CT
Hold
Patient
Dosed
Hot
Lab
Gamma
Spect /
CT
Service
Elevators
Patient Relations /
Physician Relations
Cart
Staging
08 | Occupancy Manual • General Building Information
Airborne
Isolation
Waste
Management
Public
Elevators
Bed Storage
Chuck
Williams
Cafe
Grab and
Go
Cafe
Service
Elevators
Receiving
Clean
Linen
Food
Prep
Adult
Security Waiting
Room
Admitting
Adult
Biomedical
Engineering
Supply
Chain
Emergency
Drop Off
Results
Waiting
3B
Staff
Lounge
Central
Distribution
3D
Cashier
Birthing
& Child
Admitting
Staff
Lounge
Psych
Staff
Lockers
Engineering
Environmental
Services
Psych
Ambulance
Parking / Drop Off
Conf
Room
312A
Holding
Soiled Linen
Physician
Lounge
Nurse
Education
3140
312B
Main
Conference
Room
312C
3180
Surgical Services
Administration
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 09
Cardio Prep
OR Cardio
8
Sterile
Core
Service
Line Office
Med
Equipment
OR
Transplant
9
OR
General
10
Imaging
Soiled
OR
General
11
Sterile
Core
OR Cardio
7
OR
Transplant
6
Med
Anesthesia
Imaging Equipment
Workroom
Anesthesia
Storage
OR
General
12
Patient
Room
OR
General
4
Shell
Space
14
5G
5H
2
Cesarean
5F
1
4E
4F
Garden
Cesarean Nurse
Section Station
Cesarean
OR
Recovery
PACU
A
Office
Cath
1
ACU C
4C
IR
2
Outdoor Patio
accessible
Cath / IR/ EP
ACU B
4A
4B
Cath
6
Patient
Transport
Elevators
EP
5
Staff Lockers,
Female
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Male
Lockers
Sleep
Rooms
Attending
OB Triage
Exam
OB
Triage
Resuscitation
Labor and
Delivery
IES 7
GI 1
GI 2
IES 4
Pharm
Satellite
Patient
Transport
Elevators
Patient Rooms
Non-Invasive
Cardiology
IES 5
5C
LDR Patient
Rooms
Fifth Floor
Interventional Services
Cardiovascular
Endoscopy
Transplant
Birthing Center
OB Triage
Rooftop Garden
Roof Top
Vegetation
Family
Lounge
Staff
Lounge
Shell
Public
Elevators
Female
Lockers
Roof Top
Vegetation
Lactation
Service
Elevators
GI 6
Fourth Floor
10 | Occupancy Manual • General Building Information
Staff
Lounge
5K
Nurse
Station
Reception
GI / IES / Motility
Staff
Lounge
Female
Lockers
5D
Waiting
Room
Shell
Space
5E
Multi
Purpose
EP
4
IES 3
Staff Lockers,
Male
LDR
Patient
Rooms
Public Reading
Elevators Room
Service
Elevators
Formula
Prep
Lounge
4G
4D
5J
Patient
Rooms
IR
3
Family
Waiting
Patient
Rooms
NICU
Anes.
Staff
Lounge
Airborne
Infection
Patient Rooms
Patient Rooms
LDR
Patient
Rooms
Operating Rooms
3
Storage
Med
Equipment
OR Hybrid
Sterile Core
OR
General
5
Sleep
Attending
Antepartum
Testing
Antepartum
Care Unit
5B
5A
Patient Rooms
Family
Room
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 11
Patient Rooms
7 West
Shell
Storage
7E
Transport
Elevators
Roof Top
Garden
(view only)
Airbone
On-Call
Rooms
6F
6 West ICU
6D
Male
Lockers
Airbone
Service
Elevators
Respiratory
Therapy
Staff
Lounge
7A
7 East
Pediatrics
7C
PICU
Patient
Rooms
7B
Procedure
Room Family
Room
Patient
Rooms
Family
Room
Patient
Rooms
Female
Lockers
Lounge
Patient Rooms
6A
Critical
Care
6 East ICU
6B
Patient Rooms
Airborne
Infection
8E
Shell
Staff
Lounge &
Lockers
Well Baby
Nursery
Transport
Elevators
Lounge
Eighth Floor
Intensive Care Unit
On-Call Rooms
Respiratory Therapy
Well Baby Nursery
Women and Infants
Family
Area
Family
Area
Airborne
Public
Elevators
Patient Rooms
8A
8H
Well Baby
Nursery
Airborne
Sixth Floor
8F
8G
Women
and Infants
Service
Elevators
12 | Occupancy Manual • General Building Information
Patient
Rooms
Exercise
Room
Lounge
7D
Shell
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Public
Elevators
Patient Rooms
Public
Elevators
6C
Staff
Lounge
Child
Life
Resident
Mailbox &
Lockers
Patient Transport
Elevators
Patient Rooms
Pediatrics
PICU
Resident
Lounge
6E
Patient
Rooms
Family
Room
Seventh Floor
Lounge
Patient Rooms
Lounge
Shell
Service
Elevators
N
Sleep
Room
Lockers
Roof Top
Garden
(view only)
Family
Area
7F
8D
8C
Patient Rooms
8B
Family
Room
Occupancy Manual• General Building Information | 13
Patient Rooms
Shell Space
9 West
9F
9G
Transport
Elevators
9E
Service
Elevators
Ninth Floor
9 TICU
Transport
Elevators
Patient Rooms
Public
Elevators
Public
Elevators
9A
Staff
Lounge
Nursing Administration
Service
Elevators
9 East
9C
9D
Med/Surg Patient Rooms
TICU
N
N
Airborne
Staff
Lockers
Rehab
Gym
Patient Rooms
Ambassador
9H
Eleventh Floor
9B
Ambassador Services Suite
Board Room
Executive Administration
Patient
Rooms
Staff
Lounge
Graduate Medical Education
Medical
Staff
Board
Room
Executive Administration
Conference
Room
Patient Rooms
10G
10F
10H
Rehab
Gym
10 West
Transport
Elevators
10E
Airborne
Staff
Lockers
Patient Rooms
Service
Elevators
Airborne
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Family
Area
Family
Area
Med/Surg Patient Rooms
14 | Occupancy Manual • General Building Information
Patient Rooms
10A
Staff
Lounge
10D
10 East
10C
Patient Rooms
Tenth Floor
Public
Elevators
10B
Family
Room
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
Occupancy Manual• General Building Information | 15
TRANSPORTATION
AND PARKING
Sustainability
Building Reminders
The campus is Leadership in Energy and Environmental Design
(LEED) certified, a globally recognized symbol of sustainability.
The building is constructed to lower greenhouse gas emissions by
reducing the use of energy and water.
Help us create a positive environment for our patients and
visitors. Please remember that we are moving into a brand new
hospital that we want to keep as beautiful and tidy as the day we
move in.
New roof top gardens are designed to be an urban oasis which help
with water drainage. Approximately 36o,ooo gallons of storm water
will annually be diverted from the city’s water system. In addition,
about 5o,ooo gallons of rainwater will be diverted to help dissipate
heat from the heating, ventilation and air conditioning (HVAC)
system at the building’s rooftop cooling towers.
Remember you are “onstage” in front of house
areas (areas that patients and visitors will see).
Bottle water refilling stations (page 35) and the sustainable waste
removal program (page 41) are other examples of ongoing sustainable processes.
No fish or pets will be permitted, with the
exception of service animals (page 33).
General Information
Telephone Numbers
Hours & Entrances
Badges and Access
Elevators
Shared Spaces
Lockers
Conference Rooms
Departments
Floor Plans
Sustainability
16 | Occupancy Manual • General Building Information
No moving furniture or equipment in the building.
No hanging things on the wall (art and
bulletin boards provided).
Personal packages will no longer be accepted
at the campus. Materials Management
will not sign for them.
Ordering food for delivery—Staff are responsible
to come down to the 3rd Floor Security Desk at
Emergency Department to pick up food. Food delivery
will not be allowed to come to the care department.
CPMC Shuttle Routes
B
Civic Center BART to
Van Ness Campus
D
Davies Campus to
Van Ness Campus
JG
Japantown Garage to
Van Ness Campus
K
Kabuki Hotel to
Van Ness Campus
MBC
Mission Bernal Campus to
Davies Campus
MBC24
Mission Bernal Campus to
24th Street Mission BART
SAC
1825 Sacramento to
Civic Center BART
Public Transportation and CPMC Shuttles
Parking
CPMC encourages visitors and staff to follow San Francisco’s
Transit First policy and use alternative modes of transportation
whenever possible. The Van Ness Campus is easily accessible by a
combination of rail, bus, shuttle, ferry and/or bicycle. Visit 511.org
for a comprehensive list of transit options to spare the air and keep
our campuses safer for you and your family.
Parking is limited, so please take public transportation whenever
possible. For parking, public transportation, WageWorks and other
related information please contact the CPMC parking office at
415 6oo-18o4 or email cpmcparking@sutterhealth.org
Complimentary shuttle services to and from Van Ness Campus to
Civic Center BART station is available for staff, physicians, volunteers, patients and their families.
To connect with other CPMC campuses, additional shuttles are
available. In general, shuttle service is available approximately every
3o minutes, Monday–Friday, 6am to 6pm. For more specific times
and pick-up information, go to:
cpmc.org/visiting/shuttle.html.
Patients and visitors may also obtain additional information on
public transportation and shuttle timetables at the Information
Desks and Kiosks located in lobbies. Staff and providers may visit
our Intranet for additional public transportation and shuttle service
information. Ask your shuttle driver about courtesy stops.
Level P1 has van accessible spaces and spaces for oversized vehicles.
Payment machines are on Level P1, P2, P3 by the elevators. Payment
machines accept cash and credit cards. Please pay before exiting;
cashiers are not stationed at the exit gates.
Staff Parking
Decisions for additional lots, have not yet been resolved. More
information to follow.
Visitor Parking
Visitor parking is available for patients and their families. The
entrances to the parking structure are on both Geary Street and
Post Street.
At the time of this publication additional shuttle routes are still
being determined. Check the website for the most up to date
information: cpmc.org/visiting/shuttle.html
ay
Broadw
Main Hospital
Medical
Office Building
VAN NESS
18 | Occupancy Manual • Transportation and Parking
FRANKLIN
Transportation
CPMC Shuttles
Public Transit
Parking
38, 38R
t.
Bush S
Post St.
CPMC SHUTTLE STOP
Cesar Chavez
Geary
2, 3, 76X
GEARY ST
Guerrero St.
s
Van Nes
POST ST
Van Ness Campus
Mission Bernal
et
101
.
St
M
k
ar
80
82
Transportation
CPMC Shuttles
Public Transit
Parking
Occupancy Manual• Transportation and Parking | 19
Support Services are composed of CPMC departments such as
Spiritual Care and Chaplaincy Services
Security, Transport, Environmental Services, Facilities, Engineering,
The CPMC Spiritual Care Team provides spiritual care to patients,
Biomedical Engineering, Materials Management, and Nutrition
families and staff inclusive of all religious traditions, cultural back& Food Services. At Van Ness, they are located on the First and
grounds and spiritual expression. The Spiritual Care Team offers or
Second Floors, see page 07.
arranges for the practice or experience of religious sacraments and
rituals such as baptism, blessings, communion, sacrament of sick,
confessions, chanting, and more.
Department Telephone Directory
The Microsoft Outlook Address Book is an application to access
the Employee Department Phone Directory for all CPMC and
Sutter Health campuses. The standard process for adding/changing
staff locations will synchronize with the address book to keep the
directory accurate without additional administrative work. The
Department Phone Directory by campus is located in our Intranet.
Use the advanced search on the address book for quick lookups.
A list of important department phone numbers in the Van Ness
Campus can be found on page 02.
In addition, the team is available to support families and loved
ones. The Spiritual Care Team is available to visit patients 24/7 on
all four campuses.
Call 415-6oo-3741 to request a chaplain visit.
Patient Relations
Patients are at the center of everything we do. If a patient or a
family member has a question or concern about their hospital stay,
they are encouraged to tell their care team. They may also contact
Patient Relations at 415-6oo-328o or ask a Nursing Supervisor.
The Patient Relations Team can do the following:
• Assist with lost patient items (coordinate an investigation, conduct a follow-up, facilitate reimbursement)
• Assist
with difficult patient/family incidents
• Coordinate
patient grievance issues to
align with regulatory standards
• Coordinate
ADA concerns
• Meet
with patients/families to de-escalate
issues before they become grievances
• Round
on patients (in addition to nursing leadership rounds)
• Enhance
SUPPORT SERVICES
patient experience (facilitate trainings and in-services to help
staff improve the experience)
Volunteers
At the Van Ness Campus, volunteers help at the Information
Desks, provide hospitality, escort patients, and help with selected
non-clinical patient care activities. CPMC offers volunteer opportunities to students and adults.
The Volunteer Office is located on the 1st Floor (page 07). The
telephone number is 415-6oo-34o2.
Support Services
Telephone Directory
Volunteers
Spiritual Care
Patient Relations
Interpreter Services
Newborn Connection
Respiratory Etiquette
Stations
Wheelchairs &
Gurneys
Lost & Found
Occupancy Manual• Support Services | 21
Interpreter Services
Our Interpreter Services Program offers the following services:
• In-person interpreting by trained medical interpreters
• Video
interpreting via an iPad
• Telephonic
interpreting via a dual handset phone system
A dual handset interpreter phone is stored in the nurse server in
every Med/Surg patient room.
These services are available to all departments at no cost. Please
access Interpreter Services by calling 415-6oo-2o7o.
Newborn Connections
Newborn Connections is a community resource in the Van Ness
Campus that offers support and education from pregnancy through
early parenting. Located in the Medical Office Building, 11oo Van
Ness Ave, the program includes prenatal classes, massage services,
breastfeeding support, and support groups, as well as breastfeeding,
baby and lactation supplies.
Hours are 1oam–4pm Monday–Friday, 1oam–2pm Saturday. The
telephone number is 415-6oo-2229.
Respiratory Etiquette
Stations
To prevent the transmission of
respiratory infections, complimentary
respiratory etiquette stations with
gloves, antibacterial gel and masks are
available in the main registration areas
and on each floor.
Wheelchairs and
Gurneys
Wheelchairs and gurneys are available for general patient use and
are tagged with Aeroscout RFID (GPS tracking devices) to facilitate
ease of location for patient use. Equipment will be cleaned after
each patient use by clinical or transport staff. Wheelchairs are
located at the entrances of the ER, Level 2 Driveway, and Discharge
Lounge.
Lost and Found
Lost and Found is located in Security on the 1st Floor. Please
contact Security at 415-6oo-o837 if you have a missing item that
cannot be located.
For patient lost and found items, please direct them to Security or
contact Patient Relations at 415-6oo-328o.
Support Services
Telephone Directory
Volunteers
Spiritual Care
Patient Relations
Interpreter Services
Newborn Connection
Respiratory Etiquette
Stations
Wheelchairs &
Gurneys
Lost & Found
22 | Occupancy Manual • Support Services
SAFETY AND
SECURITY
Security Awareness
Security
• Be
Security Desks are located on 2nd floor (Main Lobby) and 3rd floor
(Emergency Room). Security enhancements include:
• If
aware of your surroundings.
you see something, say something.
• For
emergency situations (other than Code Blue) dial 4-4444.
•A
metal detector at the ED entrance
• Keep
• Panic
• Pay
• Security
your personal property, especially purses,
briefcases and bags, locked and secure.
attention to person(s) who look suspicious or look like they don’t belong.
alarms located in identified high-risk areas; when
activated, a silent alarm is sent to Security Dispatch
stations located at key main entrances
including the ED, loading dock, and drive through
• Make
sure vendors have a vendor badge.
• Staff
• Wear
your hospital badge.
• HUGS
• Be
alert when you are in areas or around
people that are unfamiliar to you.
For general security concerns or for an escort to your vehicle,
contact Security Dispatch at 415-6oo-o837.
Crash Carts
Crash carts are strategically located throughout the Van Ness
Hospital in the event of a medical emergency for patients,
visitors or staff.
Duress buttons on Aeroscout RFID tags worn by staff
Infant Security & Adult patient elopement
Door Alarms and Stairwell Access
The new hospital has public and staff only areas. In the event of a
fire, all persons in the building must be able to exit by the emergency stairwells. Therefore, we cannot lock interior doors, but
we can alarm doors to notify Security when a person has entered
an authorized hospital staff only area. Signs reading “Authorized
Hospital Staff Only, Alarm Will Sound” and “Emergency Exit Only,
Alarms Will Sound” are posted on doors that alarm when entered.
To prevent the alarm from sounding, hold your employee badge
up to a card reader located near the door.
Stairwells are “exit only” to the public. In order to re-enter a floor
from the stairwell, staff must hold their employee ID badge to a
card reader located on the door.
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
24 | Occupancy Manual • Safety and Security
On the Women’s and Children’s floor, the stairwell doors have a
sign which reads “KEEP PUSHING. THIS DOOR WILL OPEN IN 15
SECONDS. ALARM WILL SOUND”. Only specific authorized staff,
can use their employee ID badge to deactivate these alarms. These
doors are part of our infant security system. In case of fire, push on
door and it will open.
Communications in a Disaster
Emergency Management /
Emergency Operations Plan
Emergencies, disasters and other catastrophic events pose a significant threat to the ability of a health care organization to maintain
operational capability and provide care, treatment and services to
its community.
CPMC has implemented a comprehensive All-Hazards Emergency
Operations Plan to respond to the medical needs of the community
in the event of an emergency, disaster situation or mass casualty
incident.
The All-Hazards Emergency Operations Plan is an organization-wide program that incorporates all services and sites of
care under the CPMC license. This plan applies to staff, licensed
independent practitioners, contract workers, volunteers and others
as appropriate and indicated throughout this document.
The All-Hazards Emergency Operations Plan complies with the
elements of the National Incident Management System (NIMS),
incorporates the Hospital Incident Management System (HICS),
and addresses the six critical areas mandated by Joint Commission
standards:
• Communications
• Safety
• Patient
• Staff
clinical and
support activities
• Resources
and assets
and security
responsibilities
• Utilities
management
The full plan is located on the CPMC Intranet at
http://mysutter/bay/CPMC/Resources/Safety/Pages/
EmergencyManagement.aspx
Sutter Health affiliates use Everbridge Mass Notification System
to communicate to all staff simultaneously in an emergency.
Everbridge has been implemented to improve the efficiency and
effectiveness of communications. The system-wide notification
system enables CPMC staff to receive and respond to critical safety
and business impact information in a timely manner.
Everbridge allows CPMC to communicate with staff via multiple
contact paths including home phone, email, mobile phones and
other communication devices during an emergency event.
What to do when a notification is received:
Read (when received via email) or listen to
the message carefully for directions.
“Confirm the Message” when asked by clicking
the link provided in the email, or press 1 if
the message is received via phone.
Confirming the message lets CPMC know that you have received
the message.
How to update your personal contact information:
Check the Lawson e-Self Service site on the Intranet portal to
confirm that your personal contact information is correct. Having
accurate personal contact information is critical for Everbridge to
work effectively and staff to receive emergency
information. Everbridge pulls from Lawson and
if information is inaccurate you may not receive
emergency notifications.
Safety & Security
Please direct questions regarding Everbridge to
the Safety Department at 415-6oo-462o or email
sforzok@sutterhealth.org.
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Occupancy Manual• Safety and Security | 25
Morgue
Hospital Command Center
Kitchen
Structure
The hospital uses the Hospital Incident Command
Dish
(HICS) to manage emergency events, and ifRoom
the situation
Autopsy
warranted, the Emergency Operations Plan would be activated
Staff
via Code Triage.
Lounge
Clinical
Lab
is initiated,
Security
/ PBX
Operators
atient
charge
If Code Triage
the Hospital Command Center (HCC)
Pathology
will
be activated; it is located on the 1st Floor in Conference Room
Food & Nutrition
#11oB. If additional resources are needed to manage
the event, the
Administration
Emergency
Labor Pool will be activated; it is located in the
hospital
cafeteria.
Food
Patient
Transport
Elevators
Transfusion
Pharmacy
Nurse
Staffing
Dialysis
Work Mail
Room Room
Service
Elevators
Patient
Transport
If you witness a patient, visitor or staff member who is in cardiac
and/or respiratory distress, or having a medical emergency, immediately seek medical assistance by calling for help—and by dialing
5-5555 from a hospital phone.
Initiated when a child/adult over the age of 2 is discovered
missing or has been abducted.
Patient care areas should also use the Code Blue alarm system or
alert the hospital operator by dialing 5-5555.
For other types of urgent medical situations (Rapid Response) and
non-medical emergencies (Code Red, Code Gray, etc.), dial 4-4444
Staff
Lounge
from an in-house phone and provide the nature of the emergency,
and your name and location.
Staff
Conference
110A
Command
Center
Shuttle Elevators to
Level 1, 2, Parking 2, 3
Lobby
The Code Team will respond to all medical emergencies in the main hospital and will respond
to non-patient emergencies. The Code Team is
multi-disciplinary, made up of ICU providers, nurses, respiratory therapists, security and a Nursing
Supervisor.
Outside of the Hospital
For patient and non-patient emergencies
in the Medical Office Building, Pacific
Campus (after March 2nd), or California
Campus (after March 3rd), call 911.
26 | Occupancy Manual • Safety and Security
Staff should initiate a Code Purple
when the missing child/adult:
• Is a minor
• May
have been removed from the facility against their will
• Has
a central line, IV, PICC Line, catheter, etc.
• Is
awaiting psychiatric evaluation
• Poses
a danger to themselves or others
as documented by physician
follow them, taking note of their appearance, what they are wearing
and how they exited the building.
If the suspect abductor reaches the parking lot and attempts to
leave by car, take note of the vehicle’s make, model, color and
license plate.
Code Pink - Infant/Child
Initiated when an infant or child less than 2 years of age is
discovered missing or has been abducted.
Staff response to missing or abducted infant/child:
Call the emergency number 4-4444 the moment an infant/child is
confirmed missing or abducted. State an infant/child is missing or
abducted and provide:
Code Gray
• Is
Initiated for any event with aggressive, hostile, combative or potentially combative behavior from a patient, visitor or staff member,
without the display of weapons.
A Code Purple should also be initiated anytime a clinician has
concerns with the patient leaving the facility.
Your name and the location where the infant/child
was last seen
Staff response to a missing or abducted
child/adult:
Call the emergency number the moment a child/adult is
confirmed missing or abducted.
The infant/child’s name and physical description
(age, gender, race, etc.)
Response Procedures
At the first indication of a perceived Code Gray:
Code Team
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Code Purple
Volunteer
Med
Pickup
Media
Services
Code Blue or Other Medical Emergency
Dial the emergency number 4-4444.
Describe the incident to the operator,
including the specific location.
Security will determine when an “All Clear” will be announced.
Post Incident
Security will conduct a post investigation debriefing. You will be
interviewed to gather incident specific information.
Complete the Workplace Violence Incident Report and, if applicable, an electronic Report of Injury (eROI), Patient Safety Report
(PSR) and Quality Risk Assessment.
Infant/Child Security
There is an Infant Security System installed in Women’s and Infant
Center (Labor & Delivery, Nursery) to protect our infants and
prevent infant abductions. Code Pink and Code Purple are used in
the event of a missing infant or child.
on a conservatorship
State a child/adult is missing or abducted and provide:
Your name and the location where the
child/adult was last seen
Any additional details about the abduction or absence
(e.g., description of the abductor)
The child’s/adult’s name and physical
description (age, gender, race, etc.)
Staff response to a Code Pink announcement:
Immediately stop all non-critical work and proceed to your department’s pre-assigned area(s) to observe stairwell door, elevator areas
and exit doors. If outside of your department, monitor the nearest
exit. Continue monitoring until “Code Pink—All Clear.”
Any additional details about the abduction or
absence (e.g., description of the abductor)
Identify and report suspicious individual(s) to the
emergency number 4-4444.
If response to a Code Purple announcement:
Immediately stop all non-critical work and proceed to your department’s pre-assigned area(s) to observe stairwell doors, elevator
areas and exit doors. If outside of your department, monitor the
nearest exit. Continue monitoring until “Code Purple—All Clear” is
announced.
Identify anyone matching the description of the missing
child/adult and call the emergency number.
Respectfully engage anyone who is carrying a child or may be
concealing a small child. Explain the situation and request to
inspect small objects.
Identify anyone in obvious distress (struggling, needing assistance,
appearing lost/confused, etc.) and call emergency number.
If the suspect flees, do not forcibly restrain them. If safe to do so,
Respectfully engage anyone who is carrying an
infant or may be concealing an infant. Explain the
situation and request to inspect objects.
If the suspected abductor flees, do not forcibly
restrain them. If safe to do so, follow them, taking
note of their appearance, what they are wearing
and how they exit the building.
If the suspect abductor reaches the parking lot and
attempts to leave by car, take note of the vehicle’s
make, model, color and license plate.
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Occupancy Manual• Safety and Security | 27
Standardized Emergency Codes
Medical Alerts
Code
Definition and Announcement
Alerts
Definition and Telephone Operator Announcement
Blue
Cardiac or respiratory arrest
C-Section
A pregnant patient needs an emergent C-Section
“Code Blue (Adult, Maternity, Neonate, Pediatric, or V.A.D.) - location”
Gray
Combative Person
“Code Gray - location”
Orange
“Medical Alert: C-Section - location”
Hazardous Material Spill
Imminent A pregnant patient in advanced stages of labor cannot be transported to the Labor & Delivery
Delivery
Unit prior to delivery and needs emergent attention
“Medical Alert: Imminent Delivery - location”
“Code Orange - Hazardous Materials Spill/Release - location”
Pink
Infant Missing or Abducted (up to the age of 2)
“Code Pink last seen - location [insert description, age, gender, race, clothing, and description of individual
that may be with, if available.”
Purple
Red
Fire “Code Red - location”
Silver
Person with a Non-Firearm Weapon or Hostage Situation
“Code Silver - location. A security threat exists at location. All persons should immediately move away
from that location if it is safe to do so. If it is not safe to move away, seek shelter or remain in a room
with the door closed until an all clear has been announced.”
Silver Active Shooter
“Code Silver - active shooter - location. A security threat involving a firearm exists at location. All
persons should immediately move away from that location if it is safe to do so. If it is not safe to move
away, seek shelter or remain in a room with the door closed until an all clear has been announced.”
Lime
Electronic Health Record is down
“Code Lime - initiate (EPIC, PACS, other) downtime procedures.”
Sepsis
Patient is in septic shock and needs emergent attention
“Code Sepsis - location.”
Yellow
Bomb Threat / Suspicious Device
“Code Yellow - location.”
Triage,
Internal/External,
Alert/Activate
28 | Occupancy Manual • Safety and Security
A patient with early signs of clinical deterioration needs emergent attention to prevent respiratory or cardiac arrest
“Medical Alert Rapid Response - location and description.”
Child/Adult Missing or Abducted (over age 2)
“Code Purple (child or adult) - last seen - location and description.”
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Rapid
Response
Disaster/MCI/Patient Surge event. Activate Emergency Operations.
Plan for internal or external incident.
“Code Triage Internal/External -Alert - describe situation.” OR “Code Triage Internal/External -Activate
- describe situation. The emergency operations plan has been activated.” When applicable, the following
should be added to the announcement: “Incident management team members should proceed to the
location for a briefing.”
* NOTE: Plain language should be used to describe the situation.
Sepsis
A patient has severe sepsis and needs urgent attention
“Medical Alert: Sepsis - location”
STEMI
A patient with myocardial infarction and ECG evidence of ST elevation needs emergent
percutaneous coronary intervention
“Medical Alert: STEMI - location”
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Occupancy Manual• Safety and Security | 29
Fire Safety
General Fire Safety
Never block access to pull stations, fire extinguishers and
medical gas value boxes. Corridors should be clear except
for crash carts, isolation carts or “in use equipment.” If
the fire alarm is activated, make sure corridors are clear.
During an actual fire or smoke event, do not use elevators.
Follow exit signs to the nearest, safest exit stairwell.
Do not open doors if they are hot to touch, or if you can see
smoke. If you become trapped in a room and cannot exit
safety, keep the door closed and seal off any cracks. Call
hospital operator at 4-4444 and report your exact location.
If a door feels cool to the touch, open it cautiously. Be
prepared to slam the door shut if the corridor is full
of smoke or if you feel heat when opening the door.
If the corridor is clear, proceed with evacuation.
If you are caught in smoke or heat, stay low until you
reach a safe area such as another smoke compartment.
What to Do if You Get injured?
Fire Safety Guidelines
Smoking is prohibited in all buildings
and vehicles.
Employees are required to report all work related injuries and/or
illnesses to their supervisor or the on-duty supervisor immediately
and complete an Electronic Report of Injury Form (eROI) by the
end of shift in which the injury or illness occurred. The forms are
located on the CPMC intranet under Frequently Reviewed Forms—
Environment of Care.
Check cords and equipment.
Report problems.
Know where pull stations and
fire extinguishers are located.
Fire Response = RACE
Rescue—Rescue/remove person(s) from the immediate danger.
30 | Occupancy Manual • Safety and Security
Workplace Violence Reporting
Alarm—Active the nearest fire alarm pull station, then call 4-4444
and/or 911.
Confine—Confine fire and smoke by closing all doors in the area.
Extinguish or Evacuate—Extinguish a small fire by using
a portable fire extinguisher or use to escape from a large
fire. Evacuate the building ONLY upon order of the Incident
Commander or the Fire Department.
How to Use a Fire Extinguisher = PASS
Pull—Pull the pin
Aim—Aim the nozzle at the base of the fire
Squeeze—Squeeze the grips
Sweep—Sweep nozzle side to side
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Upon completion and submission of the form, an incident analysis
will be completed by the employee’s manager to determine what
caused the incident and actions needed to be taken to prevent the
incident from reoccurring.
Know evacuation routes—stop and look:
Where are the exit signs?
For security and safety reasons, access to the MRI suite is limited
to MRI personnel and security and is controlled. The MRI spaces
are zoned to protect staff, patients and families. Zoning is noted
as follows:
Zone II: Unscreened MRI patients, personnel and visitors
Zone III: Screened MRI patients, personnel and visitors
Zone IV: Screened MRI patients, personnel and visitors under
constant supervision of trained MR personnel
Pull the pin
Aim nozzle at
base of fire
MRI Suite Safety
Squeeze
grips
Any metallic, electronic, magnetic or mechanical implants,
devices, or objects are hazardous in the MRI Suite and cannot be
allowed in the area. Follow and respect instructions from the MRI
technologist.
The MRI suite has a special designated EVS closet with non-metallic supplies and equipment. Regardless, EVS staff should never
enter the MRI suite without supervision from an MRI technologist.
Finally, to ensure all zone protocol is followed, always check with
an MRI tech before entering the suite.
Sweep nozzle
side to side
Effective April 1, 2o17, employees working in inpatient and outpatient settings and clinics on hospital licenses are required to report
workplace violence incidents into the Midas Workplace Violence
Incident Report.
Certain health care facilities as defined by the new Cal/OSHA
Workplace Violence Prevention Plan standards, Section 3342,
California Code of Regulations Title 8, adopted October 2o, 2o16,
were required to maintain a log of all incidents of workplace
violence by April 1, 2o17.
The purpose of the new standard is to protect
employees, physicians, volunteers and contracted
personnel from aggressive and violent behavior—
for example, physical and/or verbal assault, sexual
assault, threats, and violation of a restraining
order.
In addition, if an employee is injured in a workplace violence incident, they must complete an
Electronic Report of Injury (eROI) Form AND a
Workplace Violence Incident Report.
If a patient is injured, the employee must go to the
Hospital Midas Tools Page and complete a patient
injury form.
Safety, Security, Human Resources, Risk
Management, and Operations Management will
coordinate a post-incident investigation.
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Occupancy Manual• Safety and Security | 31
ADA Information
Hand Hygiene
Service Dogs
Assistance for the hearing, listening, visually and speech impaired is
available, and contact information can be found below:
Through our Aeroscout Hand hygiene system, we will be able to
monitor and record our hand hygiene events, including number
of hand-washings and locations in patient care areas over Wi-Fi.
Benefits of the hand hygiene system:
Service dogs don’t require proof of certification or medical
documentation to enter public patient care areas. If you are unsure
if an animal is a service dog, you may ask the following:
MySutter Portal: Interpreter Services & Multilingual Resources
http://mysutter/SHWBR/CPMC/Resources/MoreResources/Pages/
InterpreterServices.aspx
For American Sign Language Interpreter Services, (sign language
only, not languages such Spanish, Chinese, etc.), to schedule an
ASL interpreter:
Use the Online Interpreter Scheduling system or
Call our ASL vendor at 1-800-975-815o
For Assistive Listening Systems (Pocket Talkers), call campus
security at 415-6oo-o837.
For an Amplified Telephone Handset,
call 888-888-6o44.
Closed caption decoders—Closed captioning feature is available
on all TVs in patient areas. In patient rooms, closed captioning
can be activated by pressing the Pillow Speaker “CC” button.
For a braille, large print or audio format provider, call LightHouse
for the Blind and Visually Impaired at 415-694-7358 (braille) and
415-694-7312 (audio) or by email at ais@lighthouse-sf.org.
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
32 | Occupancy Manual • Safety and Security
• Enables
Infection Control and Process Improvement staff
to focus on compliance, education and data analysis.
• Does
not disrupt routine patient care workflows.
• Provides
• Drives
automated data collection and reporting.
accountability down to the caregiver level.
1. Is the dog required because of a disability?
2. What work or tasks has the dog been trained to
perform?
No other questions about a person’s disability or the dog are
permitted.
Remember
• Always ask permission to approach the service dog.
• Address
the person directly.
• Do
not draw unnecessary attention to the
person with the service dog.
• Ask
how to accommodate the dog during the medical appointment or hospital stay. If necessary, ask who is designated to care
for the dog during the medical procedure or hospital stay.
In an Emergency
If the patient can communicate, ask who they want to care for their
dog to determine how best to care for the patient and service dog.
If the patient is unable to communicate:
• Look for identifying information on the dog’s harness or
collar to determine if the dog came from a school or training
program. Contact the school or training program.
• If
no information is available, contact family members or friends.
• Contact
animal control after all options are exhausted.
Please contact the ADA Coordinator or Safety Officer at
415-6oo-462o with any questions or concerns.
Safety & Security
Security Awareness
Crash Carts
Security
Door Alarms &
Stairwell Access
Emergency
Management EOP
Communications
in a Disaster
Hospital Command
Center
Code Team
Standardized
Emergency Codes
Medical Alerts
Fire Safety
MRI Suite Safety
Injury Reporting
Workplace Violence
ADA Information
Hand Hygiene
Service Dogs
Occupancy Manual• Safety and Security | 33
BUILDING
AMENITIES
Information Desks
Dining Services
The Van Ness Campus Information Desks are located on the 2nd
floor of the Main Lobby. The Information Desk staff provides the
following services:
Several choices for food and beverages are available during regular
business hours. The Chuck Williams Café and Grab and Go are on
the 2nd Floor and are open 6:3oam–6:3opm M–F, 6:3oam–2:3opm
Sat–Sun.
• General
information
• Directions
• Shuttle
• Taxi
and wayfinding
schedule information
and transportation services information
Waiting Areas
Waiting areas and lobbies are available throughout the hospital.
Check the floor plans (pages 7–15).
For safety reasons and to prevent accidental blocking of the retractable fire doors, do not rearrange furniture in the waiting areas.
Snack and beverage vending machines are located on the 3rd Floor
near the Emergency room.
Catering Services
All catering requests must be submitted to the Food and Nutrition
Services Department three days in advance of the meeting or event.
Use Catertrax, the ordering platform to order food for meetings.
Place catering orders at:
www.cpmc-stlukes.catertrax.com
For training on Catertrax, go to:
https://catertrax-1.wistia.com/medias/ojoa2vlyhm#
Restroom Locations
Public restrooms and water fountains are located on every floor
near the public elevators. Staff Only restrooms require badge access
and are generally near staff lockers, lounges and conference rooms.
Lactation Lounge
A dedicated lactation lounge for staff and physicians only is located
on the First Floor, Room 1118. Badge access is required.
Water Cooler/Bottle Filling Stations
The Van Ness Campus is a sustainable and LEED certified building.
To reduce the use of disposable bottles, water fountains are available on each floor near the elevators. Bottle filling locations are in
the Emergency Department, Cafeteria, and Surgical Waiting Room.
Plumbed coffee makers with hot water dispensers are available on
certain floors.
Ice makers are available in patient nourishment rooms (not in staff
lounges).
Conference Room Reservations
To reserve a room, complete the Online Conference Room Request
form, http://dcpwdbs405/virtualems/, more information about
Conference Rooms and Patient Care Conference Rooms on page
06.
Guest Internet Access (Wi-Fi)
The Van Ness Campus offers complimentary internet access.
To connect, select “SHGUESTNet” as the wireless network.
Follow the prompts on the device, including
accepting the “Terms and Conditions of Use.”
Amenities
Information Desks
Waiting Areas
Restroom Locations
Lactation Lounge
Bottle Fill Stations
Dining Services
Catering Services
Room Reservations
Guest Wi-Fi
Bicycle Storage
Ambassador
Services Suite
Patient Education
Occupancy Manual• Building Amenities | 35
Bicycle
First Floor Storage
Ambassador Services Suite
Bicycle
parking is available on a first come, first served basis. The
• Bicycle Storage
bicycle
storage is located on the 1st Floor in Room 1218, accessible
• Blood Transfusion
• Emergency
via
ParkingCommand
Level 1.Center
Cyclist should enter the building off Post or
• Food Prep
Geary
and
proceed
down car ramp.
• Morgue
• Volunteer
Offices is required.
• Badge
access
KRONOS
The Ambassador ServicesLimited
Suite is a hospitality
space located on
Guest
Service
the 11th Floor near Nursing
Administration.
It is our way of saying
Restroom
Elevators
Only
Public
“thank you” to our most Staff
generous
philanthropic
donors, as well as
Restroom
Elevators
volunteers with 5oo or more hours of service per year to CPMC.
• Reserved
Patient Entertainment/Education
(Powered by Sonifi)
Public
bicycle space may be available. Contact the Parking
Office, 415-6oo-1804 to register to use this facility and to program
Technology
Room
your badge for access.
• Day
Parking
Additional bicycle
racksMotorcycle
are
avaivable at Van Ness entrance.
Parking
Morgue
Autopsy
Shuttle Elevators to
Level 3, Parking 2, 3
Lounge
Clinical
Lab • Order
Pathology
• View
Security
/ PBX
Operators
Patient
Discharge
care team information
Food & Nutrition
Transfusion
Administration
patientEmergency
medical
schedule
Food
• Interact
Patient
Transport
Elevators
questionnaires
patient meals
• Access
P1 Parking
Patient
Discharge
Parking
Dish
Room
assigned
educational content
Staff
• Complete
Delivery
Parking
ER Parking
Pillow Speaker
Food
Storage
• Review
Ramp Down to P2, P3
Motor
bikes
HOW TO USE
Rooms are equipped with a multi-purpose media system capable
of providing patient education, communication and entertainment
features:
• Access the full complement of TV programming
Kitchen
lockers are available—as well as bathroom & showers.
Services
Water Fountain
with their care team
Staff
Lounge
Pharmacy
Use convenient controls and volume integrated
Volunteer Speaker
into Pillow
Nurse
•
Staffing
Med
Pickup
Dialysis
Work Mail
Room Room
Service
Elevators
Ramp Up to
Post Street Exit
Bike
Storage
Patient
Transport
Media
Services
Staff
Conference
110A
Shuttle Elevators to
Level 1, 2, Parking 2, 3
Lobby
Amenities
Information Desks
Waiting Areas
Restroom Locations
Lactation Lounge
Bottle Fill Stations
Dining Services
Catering Services
Room Reservations
Guest Wi-Fi
Bicycle Storage
Ambassador
Services Suite
Patient Education
36 | Occupancy Manual • Building Amenities
Amenities
Information Desks
Waiting Areas
Restroom Locations
Lactation Lounge
Bottle Fill Stations
Dining Services
Catering Services
Room Reservations
Guest Wi-Fi
Bicycle Storage
Ambassador
Services Suite
Patient Education
Occupancy Manual• Building Amenities | 37
EQUIPMENT AND
FURNISHINGS
Ergonomics
Kronos Time Clocks
VoIP Telephone System
Ergonomic chairs and keyboard trays are
fully adjustable. For assistance on proper
chair and keyboard adjustment, please
contact the Safety Department at 415-6oo462o or email sforzok@sutterhealth.org.
They will send materials regarding self-assessments and if needed will direct you to
complete the online ergonomic assessment.
New InTouch wall clocks are located
throughout the campus, conveniently
positioned near:
• Elevator lobbies
Cisco Voice over IP (VoIP) phones are used
at the Van Ness Campus, including desk,
wall and wireless phones. In addition to
the standard features of traditional phones
(hold, speaker phone, call forwarding,
conferencing, muting), the Cisco phones
offer:
• Connection to the Vocera badge
application, allowing calls to be made
between telephones and Vocera badges.
Office Spaces
Office spaces include the following:
• Ergonomic chairs
• Ergonomic
keyboard trays
• Electric
sit/stand desks
• Monitor
arms
• Electrical
outlets on the desktop
for device charging
• Mobile
personal storage—keys will be
provided for assigned locations
• Task
lighting
• Main
• The
corridors
Lab and Pharmacy
• Some
staff lounges
Web App will also be available for some
users. Refer to the floor plans (page 07) for
specific locations.
Multi-function Printers
(Scan, Print, Copy)
Multi-function networked printers are
located throughout the facility and can
function as copiers, scanners and printers.
Print jobs can be retrieved by tapping your
badge on the sensor located on the printer
of your choice. Some workflows will default
to specific printers (such as in the ED).
For copier and printer support, call Sutter
Health Information Services at 888-8886o44 or go to: is.sutterhealth.org
• Informacast
for paging and
broadcast messaging
• Cisco
Unity voicemail
Emergency red phones will be installed in
key locations.
Equipment
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-function
Printers
VoIP Telephones
Fax Machines
Phone Operators
Vocera
Nurse Call System
HIPAA Containers
Patient Lift
Sustainable Waste
Temperature Monitor
Pneumatic Tube
Occupancy Manual• Equipment and Furnishings | 39
Fax Machines
Vocera
Most faxing will be done using RightFax.
There will be a limited number of traditional fax machines on the campus in areas
where electronic faxing is not possible.
The Vocera badge delivers hands-free,
real-time voice communication between
the wearer and other staff members. This
communication system weighs less than
two ounces, allowing users to keep their
hands free without the burden of carrying a
smartphone.
Faxes will be received into an electronic
inbox, can be read online, and can be saved
or printed. Use the RightFax application
to send faxes by scanning and sending.
Sutter EHR will fax records automatically as
required by clinical workflows.
Communication Operations
(formerly PBX) / Phone
Operating System
Hospital operators will be located at the Van
Ness Campus. Hospital operators will have
Nurse Call and other alarm panels to assist
in routing alerts.
Vista Point Enterprise Operator Services
System (phone console) will support the
hospital operator workflows and assist in
the management of call queues, routing and
call handling statistics.
Nurse Call System
The Nurse Call Rauland Responder 5 system
is an application that allows the patient to
alert staff from the bedside, among other
patient locations. Identified alerts will
integrate with other applications in order
to produce hospital-wide communications
and notification acknowledgment, and it can
generate a number of reports. The system
utilizes devices at the bedside and in the
patient room to accomplish three primary
functions:
• It serves as a code required system for
patient
safety and security.
• It
provides a patient alert-communication
system (for hospital staff) that assists
patients and allows for increasingly
efficient hospital operations.
• It
interacts with other systems to
provide access to patient entertainment and education.
Equipment
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-function Printers
VoIP Telephones
Fax Machines
Phone Operators
Vocera
Nurse Call System
HIPAA Containers
Patient Lift
Sustainable Waste
Temperature Monitor
Pneumatic Tube
40 | Occupancy Manual • Equipment and Furnishings
HIPAA—Confidential
Document Containers
Confidential document containers are
located throughout the hospital and are
emptied every two weeks by the shredding
company.
If the containers need to be emptied prior
to the regularly scheduled pick-up, call
Support Services
415-6oo-79oo to arrange for EVS assistance.
CPMC is dedicated to being a green facility,
so please remember “think before you ink.”
Patient Lift System and
Mobile Lifts
Patient lift systems are available in
med/surg and ICU/PICU patient rooms.
Patient lifts are a safety feature to assist
in patient mobility and reduce the risk of
associated employee injuries.
Where ceiling lifts are not available, mobile
lifts can assist with patient mobility.
Sustainable Waste Removal Temperature Monitoring
Pneumatic Tube System
Van Ness is designed to be a green hospital.
This includes recycling, composting, red-bag
(biohazard), pharmaceutical and toxic waste
management and medical equipment reuse.
The pneumatic tube system will assist with
transporting medications, lab specimens
and blood products to/from patient care
areas, to expedite patient care. The system
has an enhanced “secure send” functionality, which will only allow appropriately
licensed staff to send and receive medication and blood products.
The Van Ness Campus uses a combination
of two systems to monitor and alert if an
equipment temperature goes out of range—
the AeroScout system (in the refrigeration
units) and the MobileView system.
In office spaces and public areas, receptacles
are provided for co-mingled recycling
When a device’s temperature goes out
(blue) and regular trash (black). In the staff of range during department hours of
lounges and conference rooms there are
operation:
receptacles for co-mingled recycling (blue), • A primary alert is sent to the
regular trash (black), and composting
department through MobileView
(green).
• A secondary alert is sent
to Plant Operations.
When a device’s temperature goes out
of range when the department is closed,
primary and secondary alerts are sent to
Plant Operations.
Equipment
Ergonomics
Office Spaces
Kronos Time Clocks
Multi-function Printers
VoIP Telephones
Fax Machines
Phone Operators
Vocera
Nurse Call System
HIPAA Containers
Patient Lift
Sustainable Waste
Temperature Monitor
Pneumatic Tube
Occupancy Manual• Equipment and Furnishings | 41
SUPPLIES AND
RESTOCKING
Loading Dock
Medical Gas Area
The loading dock is located off Franklin Street on Level 3. Interior
access is adjacent to the service elevators.
The Supply Chain Team is responsible for replenishment of medical
gases, housed in the Medical Gas Storage room on Level 3, accessed
directly off the loading dock in Room 3214.
Supply Chain Overview
Supply Chain staff will monitor supply levels, and the automated
supply system will generate refill requisitions to order inventory.
Supply Chain will receive delivery from our primary distributor at
8pm Monday through Friday.
Supply Chain will remove corrugated cardboard at the loading dock
as per infection control policies and deliver supplies to the Pyxis
and supply cart areas throughout the hospital.
Nurse Server carts are department specific and are non-standard
storage options some departments use. Supply Chain does not
manage or replenish supplies on these carts.
Supply Chain
Durable Medical Equipment (DME)
The DME process will be the same as currently in place, with
consigned inventory available in certain closets near patient care
areas in the ED (Room 3317), ACU (4227), OR and Inpatient Units
(Rooms 9349, 1o335 and 1o135). DMEs will be replenished by our
DME partner Pacific Medical.
Pharmacy
The Pyxis supply management system will be used in a combination
of locked and unlocked cabinets.
Pharmacy staff will make twice daily medication deliveries to
inpatient units, and once daily deliveries to ancillary departments,
including new Pyxis Anesthesia carts.
The Central Distribution area is located on the 2nd floor, Room
Controlled substances are mostly filled in Pyxis, but may be picked
22oo, adjacent to the services elevators. Staff, supplies and receiving
up at the Pharmacy by Nursing for one-time medications. Pharmacy
will be staged here to support a Low Unit of Measure (LUM) Just in
staff will make daily rounds to remove discharged orders.
Time (JIT) distribution model.
Supply Chain will utilize two points of entry for supplies and
deliveries: The Loading Dock, and a Receiving Office–Room 14oo,
located on Level P1. The receiving area on Level P1 will be for
Fed-Ex, UPS, florist, Lab carriers, Blood Bank, Pharmaceuticals, etc.
Central Distribution will operate 7 days/week on 3 shifts:
7:ooa–3:3op, 3:oop–11:3op, and 1:ooa–9:3op. For supplies needed
between 11:3op–1:ooa, contact the Nursing Supervisor who has
access to the Central Distribution area, Room 22oo.
Par Levels for supplies on the units will be calculated for four days
of inventory on hand. Supply Chain staff will manage the restocking
and storage of Code Blue/Broselow resuscitation and isolation
carts.
Supply Chain Intranet requests: http://apps.insidecpmc.org/
CPMC_SRQ/servlet/LoginServlet?cpmc_role_id=180
The Code Blue Cart quick reference guide can be found here:
tinyurl.com/CPMC-CrashCart
A Broselow quick reference guide can be found here:
tinyurl.com/GuideCrashCart
Linen
Linen will be managed and delivered by Supply Chain. Clean linen
will be stored in Room 2216, next to the Central Distribution area
adjacent to the service elevators.
Soiled linen will be stored in Room 32o5 located at the loading
dock.
Supplies & Restocking
Loading Dock
Supply Chain
Medical Gas Area
DME
Pharmacy
Linen
Equipment Cleaning
Asset Management
Staff Duress
Stationery, Forms &
Brochures
Occupancy Manual• Supplies and Restocking | 43
Equipment Cleaning
Asset Management
There is a central medical equipment cleaning process for the
following types of equipment
• PCA pumps
• Infusion pump modules
AeroScout is the chosen RFID (Radio Frequency Identification)
equipment location system.
Essential equipment that moves will be targeted for RFID tracking.
• Feeding
Items that will have RFID locating include but are not limited to:
pumps
• Sequential
compression devices
• Infusion
• Seizure
pump control units
pads
• Beds
Process Overview
Support Services will oversee a centralized equipment cleaning
process, seven days/week, for work that was done formerly by
Pharmacy and/or Supply Chain.
• Patients,
• Bladder
scanners
• Defibrillators
• EKG
machines
• Gurneys
• Clinical
staff will bring soiled equipment to the soiled
holding room, after preliminary wipe down.
• IV
pump brains and modules
• Equipment
• Other
• Support
Services will stock equipment to par levels
• Support
Services will pick up soiled equipment
Staff Duress
cleaning team will make
rounds twice a day (am & pm).
If a department was responsible for completing their own equipment cleaning, that work will remain within the department;
however, the department must follow the new cleaning standards
that are compliant with regulatory standards.
“Clean Sticker”
Clean equipment is to be tagged and
identified with a “Clean” sticker.
Supplies & Restocking
Loading Dock
Supply Chain
Medical Gas Area
DME
Pharmacy
Linen
Equipment Cleaning
Asset Management
Staff Duress
Stationery, Forms &
Brochures
44 | Occupancy Manual • Supplies and Restocking
N
CLEA
infusion pumps (mobile)
infants or children (HUGS System)
• PCA
pumps
• Portable
imaging machines
• SCD
• Vital
sign monitors
• Wheelchairs
Staff will be able to silently notify Security for
assistance. Security will be able to locate the
staff in need, via the RFID tag.
AeroScout Tag and Who Wears It?
• The categories of caregivers who wear the tag
will be identified by the Operations Group.
• The
badge is used for Staff Duress, and
it works in conjunction with Vocera.
How to Order Stationery, Forms,
and Brochures on the Intranet
For customized stationery and Rx pads:
Order through SmartWorks.
For forms:
Order forms through Standard Register, which you can access
through Lawson. Here are the steps:
Go to All Services, then Requisition Center, Shopping, and enter
your requesting location (a five digit number).
Go to Find/Shop icon, then OneSource; scroll down to Standard
Register.
See icons on top—click on browse catalog icon and find Sutter
CPMC forms. Or, for quick search, enter the form number and/
or name.
Specify your quantity and complete your order for approval.
For brochures and various marketing materials:
Order brochures, fact sheets, folders, marketing materials, logos,
photos, artwork, etc., from Sutter Health through Workamajig.
Go to the Sutter Intranet marketing page (mysutter/marketing)
Fill out the Workamajig request form
If you don’t have a Workamajig account, send an email to linten@
sutterhealth.org.
Supplies & Restocking
Loading Dock
Supply Chain
Medical Gas Area
DME
Pharmacy
Linen
Equipment Cleaning
Asset Management
Staff Duress
Stationery, Forms &
Brochures
Occupancy Manual• Supplies and Restocking | 45
Index
Notes
ADA Information 32,
Assistance to enter the building 04
Ambassador Services Suite 36
Asset Management 44
Hand Hygiene 32
HIPAA, Document Containers 40
Hospital Command Center 26
Hours of Operation 03
Bicycle Storage 36
Bottle Filling Stations (water) 35
Building Amenities 34
Building Reminders 16
Infant/Child Security 26
Information Desks 35
Injured at work 31
Interpreter Services 22
Catering Services 35
Chaplaincy Services 21
Codes 26
Blue 26, Gray 26, Pink 27, Purple 27,
Other Medical Emergency 26
Code Team 26
Communication Operations, Phone System 40
Conference Rooms 06
Crash Carts 24
Kronos Time Clocks 39
Departments and Divisions by Floor 06
Department Telephone Directory 02, 21
Dining Services 35
Door Alarms and Stairwell Access 24
Durable Medical Equipment (DME) 43
Elevators 05
Emergency Management, Emergency Plan 25
Equipment and Furnishings 38
Equipment Cleaning 44
Ergonomics 39
Fax Machines 40
Fire Safety 30
Floor Plans 07
General Building Information 01
Guest Internet Access (Wi-Fi) 35
46 | Occupancy Manual • Supplies and Restocking
Lactation Lounge 35
Linen 43
Loading Dock 43
Lockers 05
Lost and Found 22
Medical Alerts 29
Medical Gas Area 43
Mobile Lifts 40
MRI Suite Safety 31
Multi-function Printers 39
Respiratory Etiquette Stations 22
Restroom Locations 35
Safety and Security 23
Security 24
Service Dogs 33
Shared Spaces 05
Sonifi 36
Spiritual Care 21
Staff Duress 44
Staff Lockers 05
Standardized Emergency Codes 28
Supplies and Restocking 42
Supply Chain 43
Support Services 20
Sustainability 16
Sustainable Waste Removal 41
Telephone Numbers 02
Telephone System 39
Temperature Monitoring 41
Transportation 17
Newborn Connections 22
Notes 47
Nurse Call System 40
Visitor Badges 04
Vocera 40
Volunteers 21
Office Spaces 39
Order Stationery, Forms, and Brochures 45
Waiting Areas 35
Water Fountains 35
Wheelchairs and Gurneys 22
Workplace Violence Reporting 31
Parking 19
Patient Entertainment/Education 36
Patient Lift System 40
Patient Relations 21
PBX 40
Personnel ID Badges 04
Pharmacy 43
Pillow Speaker 37
Pneumatic Tube System 41
Public Transportation and CPMC Shuttles 18
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Occupancy Manual• Supplies and Restocking | 47
CALIFORNIA PACIFIC MEDICAL CENTER
1101 Van Ness San Francisco, CA 94109
18-CPMC-0012632-CPMC Van Ness Occupancy Manual © Sutter Health 2018
design by Eric Gross
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.7 Linearized : Yes Language : en-US Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.6-c145 79.163499, 2018/08/13-16:40:22 Format : application/pdf Title : Sutter Health CPMC Van Ness Hospital Occupancy Manual Creator : Eric Gross, Tami Chin, Jim Benney Description : 2018 Occupancy for the new Van Ness Hospital Subject : Floor Plans, Maps, Procedures Create Date : 2018:12:11 11:17:04-08:00 Metadata Date : 2018:12:11 11:17:34-08:00 Modify Date : 2018:12:11 11:17:34-08:00 Creator Tool : Adobe InDesign CC 14.0 (Macintosh) Instance ID : uuid:27d4083a-c80f-3f47-87f2-d21fae3702e4 Original Document ID : xmp.did:bcb3c28e-cb7a-46cc-bfbc-eae673ee0cbf Document ID : xmp.id:61110ad5-c2bb-4893-a2f8-05fde060b1ac Rendition Class : proof:pdf Derived From Instance ID : xmp.iid:1cd137b4-05a8-4b52-86fe-75d40865dacc Derived From Document ID : xmp.did:877e6f23-07f1-4993-8ad9-8e448171b645 Derived From Original Document ID: xmp.did:bcb3c28e-cb7a-46cc-bfbc-eae673ee0cbf Derived From Rendition Class : default History Action : converted History Parameters : from application/x-indesign to application/pdf History Software Agent : Adobe InDesign CC 14.0 (Macintosh) History Changed : / History When : 2018:12:11 11:17:04-08:00 Authors Position : Designer; Project/Team Managers Caption Writer : Eric Gross Design Producer : Adobe PDF Library 15.0 Trapped : False Page Count : 27 Author : Eric GrossEXIF Metadata provided by EXIF.tools