Occupancy Manual Buerger Center For Ambulatory Services V1 1

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The
Buerger
Center
for
Advanced
Pediatric
Care

OCCUPANCY MANUAL
Version 1.1, July 2015

Welcome

The Buerger Center for Advanced Pediatric Care
The Children’s Hospital of Philadelphia (CHOP) takes pride in the newly constructed
Buerger Center for Advanced Pediatric Care located on CHOP’s South Campus in
Philadelphia, Pennsylvania.
The Buerger Center
is a 12-story,
700,000 square foot
facility dedicated to
ambulatory and
outpatient
functions. The
Buerger Center
houses many critical
medical functions in
an ambulatory
setting.
In the Buerger
Center, groups of
The Buerger Center for Advanced Pediatric Care
related specialties
3500 Civic Center Boulevard, Philadelphia, Pennsylvania 19104
will be clustered
together, sharing clinical space. These unique space arrangements are designed not only
to simplify visits for patients and their families, saving time and easing stress, but also to
facilitate clinical collaboration.

Purpose of Manual
This Occupancy Manual serves as the reference guide to patient and staff services
offered in the Buerger Center. This Manual will be available to all personnel throughout
their employment in the Buerger Center for Advanced Pediatric Care.
Corrections, changes and/or additions to this manual should be directed to Patricia
Richards at RICHARDSP@email.chop.edu.

General Building
Information

GENERAL

General Building Information
General ................................................................................................................................ 2
Important Contacts ......................................................................................................... 2
Building Hours ................................................................................................................. 3
Entrances ........................................................................................................................ 3
Parking and Bicycle Racks ............................................................................................... 5
Public Transportation...................................................................................................... 6
Department and Divisions by Floor .................................................................................... 7
Level P1 – Biomed, Facilities Services and Environmental Services ............................... 8
Level 1 – Welcome Desk, Welcome Center, Security and Retail Dining......................... 8
Level 2- Radiology, Sedation Center, and MRI................................................................ 9
Level 3 – Infusion Center, Day Medicine, Day Hospital, Pharmacy, Phlebotomy,
Oncology and Hematology.............................................................................................. 9
Level 4 – Rehab Therapy, PT / OT, MSSK, Radiology for Level 4, Orthopedics ............ 10
Level 5 – Center for Childhood Communication, Speech / Audiology and ENT ........... 10
Services ............................................................................................................................. 11
Restroom Locations ...................................................................................................... 11
Family and Staff Lactation Spaces................................................................................. 13
Wagons and Wheelchairs ............................................................................................. 13
ATM Location ................................................................................................................ 14
Respiratory Etiquette Stations ...................................................................................... 14
Waiting Areas ................................................................................................................ 14
Check-In ........................................................................................................................ 15
Interpreter Services ...................................................................................................... 16
Vendor Access and VendorMate .................................................................................. 16
Postal and Mail Services ............................................................................................... 17
Patient and Provider Locator System ........................................................................... 17

General

Important Contacts
Division or Department
Welcome Desk
Welcome Center
Security – Buerger Center
Registration – Second Floor
Registration – Third Floor
Registration – Fourth Floor
Registration – Fifth Floor
Environmental and Linen Services – Buerger
Center (after hours pager 10557)
Materials Distribution – Main
Materials Distribution – Supplies & Medical
Equipment
Biomed – Buerger Center
Facilities Services – Call Center
Grab and Go
Einstein Brothers Bagels
Parking – Buerger Center
Interpreter Services
Volunteer Services
IS Help Desk
Medical Emergency
Phlebotomy – Buerger Center support
Radiology – Buerger Center support

Extension

ASCOM

x45500

x42813
x62400
x53517
X41046

x42119

x42633

16701

21259

Building Hours
Hours of operation for the Buerger Center for Advanced Pediatric Care are 7:00 a.m. to
8:00 p.m., Monday through Friday.

Entrances
Provider and Staff Entrances
•
•

•

Providers and staff may enter the building via the bridge from Seashore House,
the main entrance, and the employee entrance at East Service Drive.
Provider / Staff elevators are conveniently located near the employee entrance.
Provider / Staff elevators are also located at the opposite end of the building
near the retail food service amenities.
Provider / Staff elevators are badge access only.

Figure 1: Provider and staff entrances

Patient and Visitor Entrances
•

•
•

•

The Buerger Center Main Entrance brings patients and their families directly to
the Welcome Desk in the Main Lobby where they will be greeted and provided
required visitor badges for clinic entry.
Patients and their families may also enter the Buerger Center from the Buerger
Center parking garage via dedicated garage elevators.
After obtaining visitor badges, patients and families will use the conveniently
located patient and visitor elevators to access the floor where the desired
service is housed.
Ambulance Transport for patients is accommodated at the East Service Drive
employee entrance. A “Lay By Lane” and canopy provide protection for patients
and transporters at this entrance. Security staff will greet the ambulance
provider and assist with clinic access via the patient transport elevators nearby.
Patients and their families may also enter the Buerger Center from the second
floor of the Seashore House via the bridge. If they are not yet badged, Security
will provide a badge at that time.

Figure 2: Second floor entrances to the Buerger Center

Parking and Bicycle Racks
Visitor Parking
•

•

•
•
•

Parking is available for Buerger Center patients and families. Parking is accessed
from Civic Center Boulevard at the Osler Circle intersection. Buerger Center
parking is designated with a large “B” on the exterior signage.
Payment machines are available on each level in the elevator lobby. Payment
may be made in the form of cash and credit. Cashiers are not stationed at the
exit gates.
Reduced parking fee validation is available to patients with appointments.
Parking may be validated at the Welcome Desk in the Main Lobby and at the
Check-In desk on each floor.
Level P1 has van accessible spaces and spaces for oversized vehicles.
Patient drop off is available at the Plaza/First Floor Level, as well as under cover
in the P1 Level of the garage.
The parking garage elevators go directly to the Main Lobby where all visitors are
to be badged at the Welcome Desk.

Employee Parking
Approximately 600 of the 1,500 Buerger Garage spaces are reserved for employees on
the lowest two levels of the garage, level P4 and level P5.
•

•

Employees may enter the garage with their CHOP-issued parking pass from the
Health Sciences Drive entrance on level P2 and proceed to the restricted access
employee-only parking on Levels P4 and P5.
Please remember that parking on Levels P1 – P3 are for our patients and visitors
only. The system is set up to recognize any employees who do not swipe at the
P4 gate as having potentially parked on “Visitor Parking Only” level.
Emergency phones in garage are located at the stairs and elevator lobby on each
floor of the garage.

Bicycle Racks and Bike Share
•

•

Indoor bicycle racks are
located on Level P2 in the
parking garage just east of
the passenger elevator core.
Riders should plan to enter
at the Health Sciences Drive
entrance.
An Indego Bike Share Station
Is located across the street in
front of the Seashore House
at the corner of Civic Center
Boulevard and East Service
Drive.
Figure 3: Indego bike share station
Please note that any bicycles
secured to a building feature other than a designated bicycle rack will be
removed.

Public Transportation
The Buerger Center for Advanced Pediatric Care is convenient to an extensive network
of public transportation including subways, busses, trolleys and commuter rail.
•
•

Patients and family members may obtain further information on available public
transportation at the Buerger Center Welcome Desk.
Staff and providers may visit the CHOP Intranet for more information related to
Public Transportation.

Figure 4: SEPTA public transportation

Department and Divisions by Floor
Common Elements
The Buerger Center departments and
divisions are currently occupying one
lower level and five upper levels of the
building along with Roof Garden access
via the sixth floor.
•

•

The building has been intuitively
designed to ease stress and make
it easy for patients, families, staff
and providers to navigate through
the building.
Patient elevators on the first floor
are located in the center section to
the right of the Main Entrance. On
the upper floors, the elevators are
across from the Check-In Desk.
The Leonard B. Kahn Walkway,
located in the lobby, connects the
first and second floors.
Public and family restrooms are
located behind the Registration
Check-In Desk on Floors 2-6.
The Roof Garden, located on Level
6, is accessed via escort. Patients
should contact Volunteer Services
for an escort.

Figure 5: Buerger Center elevator, restroom
and check-in locations

Level P1 – Biomed, Facilities Services and
Environmental Services

Figure 6: Level P1 Departments and Divisions

• Located one level
below the street
entry.
• This floor houses
Biomed, Facilities
Services, and
Environmental
Services.
• Includes
handicapaccessible
parking.
• Provides
connection to the
CTRB and
Perelman Campus
loading dock.

Level 1 – Welcome Desk, Welcome Center, Security
and Retail Dining
•
•

•

Located at Street / Plaza
Level.
Houses Welcome Desk,
Welcome Center,
Security, and Dining.
Includes access to the
Outdoor Dining area.

Figure 7: Level 1 Departments and Divisions

Level 2- Radiology, Sedation Center, and MRI
• Accessible via
patient elevators,
bridge from the
main hospital and
Leonard B. Kahn
Discovery
Walkway.
• Houses Radiology,
MRI and the
Sedation Center.
Figure 8: Level 2 Departments and Divisions

Level 3 – Infusion Center, Day Medicine, Day
Hospital, Pharmacy, Phlebotomy, Oncology and
Hematology
•
•

Accessible via patient
elevators.
Houses the Infusion
Center (Day Medicine
and Day Hospital),
Pharmacy,
Phlebotomy, Oncology
and Hematology.

Figure 9: Level 3 Departments and Divisions

Level 4 – Rehab Therapy, PT / OT, MSSK, Radiology
for Level 4, Orthopedics
• Accessible via
patient elevators.
• Houses
Rehabilitation
Therapy (PT/OT),
Musculoskeletal
(MSSK),
Orthopedics, and
Radiology for
Level 4 patients.
Figure 10: Level 4 Departments and Divisions

Level 5 – Center for Childhood Communication,
Speech / Audiology and ENT
•
•

Accessible via
patient elevators.
Houses Center for
Childhood
Communication
(Speech /
Audiology) and
ENT.

Figure 11: Level 5 Departments and Divisions

Services

Restroom Locations
Public Restrooms
Large public restrooms are located on
each floor.

First Floor
•
•

Behind Main Lobby
Near Dining Area

Clinic Floors
•

Next to Check-In Desk on each
clinic floor

P1 Level
•

Behind the P1 public lobby
Figure 12: Public restroom locations

Family Restrooms
Family restrooms are located on each floor and on Level P1 adjacent to the public
restrooms.
These large restrooms
include:
•
•

Height-adjustable
changing table
Toddler safety seat

Figure 13: Family restroom locations

Patient Restrooms
•

•

Patient restrooms are located
within each clinic at the end of
exam room corridors.
All patient restrooms are
equipped with pull cords and
local alarms.

Figure 14: Patient restroom locations

Staff Restrooms
•
•
•

Staff restrooms are located off the
primary staff corridor in each clinic.
Staff restrooms are controlled with
electronic punch locks.
Punch lock code for the staff restroom
doors is 1234#.

Figure 15: Staff restroom locations

Family and Staff Lactation Spaces
Family Lactation Spaces
Family Lactation spaces are located on each clinic floor near
the Check-In desk.

Staff Lactation Spaces
Staff-specific lactation spaces are located on several floors
including P1, Level 2 and Level 4. These spaces are further
detailed in the Shared Building Features section.

Wagons and Wheelchairs
•

•
•
•

•

Wagons and Wheelchairs are available for all patients /
families. They are stored in the lobby vestibules on
Plaza/Level 1 and P1.
The Buerger Center has its own stock of wheelchairs and
wagons for the building.
If a wheel chair is needed, call the Volunteer Services
ASCOM number 16701.
There are designated wheelchair and wagon collection
Figure 16: Typical
points located on each of the three visitor levels of the
wagon transport
garage.
If a wheelchair repair is needed when a wheelchair is broken, please call
Facilities Services, x41046.

ATM Location
The American Heritage Federal Credit Union ATM Machine is located on the first floor
near the public cafe.

Respiratory Etiquette Stations
To prevent the transmission of respiratory
infections, complimentary respiratory etiquette
stations with gloves, gel, and masks are available at
each Check-In area.

Figure 17: Respiratory etiquette station

Waiting Areas
Public waiting areas are available
on each clinic floor and are
divided into three zones A, B and
C. Integrated into the waiting
zone are Play Areas for active and
quiet play.
For safety reasons, patients and
families should be encouraged to
refrain from rearranging furniture
Figure 18: Rendering of Wait, Play, Learn area
in the waiting areas. This will help
prevent accidental blocking of the retractable fire doors.
The window shades located in the waiting areas are motorized with the controllers
located at the Check-In Desk. Check-In staff will accommodate family needs as
requested for shade adjustments.

Check-In
Centralized Check-In for the entire floor is located adjacent to the public elevators.
•

•

•
•
•

Patients will notify the staff of
their arrival at the centralized
Check-In Desk.
Patients can check-in either with
personal attention from a Patient
Service Representative or through
the kiosk technology.
 Kiosks can be used for
check-in, signing patient
forms, and paying copayments via credit card.
 Kiosks are not used for
insurance changes and
cash or debit card
payment.
Coaster pagers will also be
handed out at this location, to
allow patient/families freedom to
enjoy the amenities of the
Buerger Center prior to being
taken to the clinic area.
The check-in area also includes a
Financial Counselor office for
private consultations related to
Figure 19: Typical CHOP Check-In kiosk
billing and payments.
ID banding may also be distributed at Check-In for those specific clinics that
require it.
Electronic Questionnaire / Welcome Devices may also be distributed at this
location for specific clinics as appropriate.
Check-Out is decentralized and located within most clinics. The process for
Check-Out varies by Division, please check with your manager for details.

Interpreter Services
The Language Services Program offers the following services:
•
•
•
•

In-person interpreting by professionally trained medical interpreters including
American Sign Language (ASL)
Telephonic interpreting via a dual handset phone system
Video Remote interpreting for the Deaf and Hard of Hearing
Deaf/Hard of Hearing services

These services are available to all departments at no cost. Please access Interpreter
Services by calling x42119. Language Services can also be accessed by use of the
speaker phone in all patient encounter rooms.

Vendor Access and VendorMate
Vendors are contractually obligated to follow all CHOP procedures and protocols. Like
CHOP staff, vendors also need to follow safety rules and submit verification of
vaccination. All vendors must check-in at the VendorMate Kiosk located in the first floor
lobby behind the Welcome Desk.
At the kiosk, the vendor is asked to enter their full name, company, department visiting,
and the purpose of the visit. After all information has been provided, the kiosk prints
the vendor’s badge which must be worn at all times while the vendor is in any CHOP
building. Security checks all visiting vendors for VendorMate badges.
All vendors are to utilize VendorMate except for the following:
Academic Institutions
Catering Companies
Employees of Clinical Staffing Agencies
Gift of Life
Healthcare Facilities
Non-profit groups (NOT including vendors)
Temp labor employees who work full-time at CHOP

Construction Workers
City, County, State and Federal Agencies
EMT’s
Insurance, Finance and Legal Companies
Joint Commission or other regulatory agencies
Local “cash and carry” vendors-local grocery stores,
hardware stores, gift and flower shops
Travel Industry (airline, auto rental, hotel, travel agents)

If the VendorMate kiosk is not working, call 4-Help or contact Pam Washington (267426-7145) or Chris Carullo (267-426-3978).

Postal and Mail Services
•

The Buerger Center address is:
3500 Civic Center Boulevard
Philadelphia, Pennsylvania, 19104

•

Fed Ex and UPS drop off boxes are located
outside the employee entrance on Level 1.

Figure 20: Fed Ex and UPS drop off boxes

Patient and Provider Locator System
Content is in development for upcoming version of this document.

Building Features for
Safety and Security

SAFETY AND
SECURITY

Safety and Security
Safety and Security ............................................................................................................. 2
Security Command Center .............................................................................................. 2
Panic Alarm Locations ..................................................................................................... 2
Crash Carts and AED Stations ......................................................................................... 3
Responding to a Medical Emergency.............................................................................. 3
Everbridge Emergency Communication System ............................................................. 4
Emergency Response Process ......................................................................................... 5
Emergency Operations Plan............................................................................................ 7

Safety and Security

Security Command Center
The Security Command Center for the Buerger Center is located on the first floor.
Additional security staff locations include the first floor public elevator lobby, first floor
staff entrance lobby and the second floor bridge.

Figure 1: Security Staff locations

Panic Alarm Locations
Panic Alarm buttons are located at each Check-in Desk and at the Welcome Desk in the
first floor lobby. When activated, a silent alarm is sent to Security.

Crash Carts and AED Stations
In the event of a cardiac emergency for patients,
visitors or staff, Crash Carts and AED Stations are
strategically located throughout the Buerger
Center.
Both the crash cart and AED defibrillators have
been standardized throughout
CHOP, and the Buerger Center is
included in that standardization.
At this time, the CHOP
defibrillator standards are the
Zoll R-series manual defibrillator
and the Zoll AED Pro.

Responding to a
Medical Emergency

Figure 2: Typical Crash Cart and AED
station

A medical (health) emergency is any type of medical condition or injury that requires
immediate medical attention. Any patient, CHOP visitor, or CHOP employee can
experience a medical emergency.
If you witness a medical emergency at Buerger call 4-CODE (x42633). When calling 4CODE (x42633), you will need to provide the location and nature of the medical
emergency and then you will be asked a series of questions. At any time you may forgo
answering the additional questions and immediately request the code team. You will
always need to provide your location and the nature of the emergency.

Buerger Emergency Response Team (BERT):
BERT is a local team of physicians and nurses who will respond to all medical
emergencies at the Buerger Center until the code team or the ED team arrive.

Code Team
The Code Team will respond to all patient medical emergencies on Main Campus. They
will respond to non-patient emergencies only if requested. The code team is multidisciplinary, made up of ICU MD’s, RN’s, CICU MD’s/RN’s, Residents, Respiratory
Therapist(s), Security, and a Nursing Supervisor.

Emergency Department (ED) Team
The ED team will respond to all non-patient emergencies on the Main Campus.

Everbridge Emergency Communication System
The Everbridge Mass Communication System keeps you informed of critical Information.
Everbridge is CHOP’s mass notification system. Everbridge has the ability to rapidly and
simultaneously notify all CHOP staff regarding any type of emergency. It sends alerts
through multiple contact paths, including your CHOP Email, CHOP-issued and personal
SmartPhones, SMS text message, ASCOM phones and your home phone.
Everbridge has been implemented to improve the efficiency and effectiveness of
communications. With an enterprise-wide notification system, CHOP can ensure staff
receive and respond to critical safety and business impact information in a timely
manner.
Having accurate contact information is critical for Everbridge to work effectively and for
you to receive emergency information. In some cases, personal contact information
such as cell and home are inaccurate or missing in Lawson. Please check your CHOPone
profile to confirm the information is accurate and up to date.
To update your personal wireless number to the directory please email
staffdirectory@email.chop.edu with your wireless phone number.
If you have questions about the Everbridge Mass Notification System, please email
EmergencyPreparedness@email.chop.edu.

Emergency Response Process
If You Discover a Fire - RACE
The following procedure (R.A.C.E.) must be followed by all employees upon
discovery of a fire in the Buerger Center.
1.

RESCUE
Remove all patients, visitors and employees from the immediate area of the fire.

ALARM
Pull the nearest manual fire alarm pull station. Call Security at x45500 and state
the exact location of the fire.

CONTAIN
Confine the smoke and fire by closing windows and doors in the fire area and in
surrounding areas. Keep the lights on in the area of the fire.

EVACUATE \ EXTINGUISH
It will be necessary to prepare to evacuate patients, staff and visitors if the fire
and\or smoke continues to spread.
If the life safety of patients or employees is threatened, use a fire extinguisher to
contain small fires. Only use a fire extinguisher only if you have been trained on
its use.

General Fire Safety
•

•

During an actual fire or smoke event, do not use
elevators. Follow exit signs to the nearest, safest
exit stair tower.
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 reach the fire tower, keep the door
closed and seal off any cracks. Call Security, x45500
or 215-590-5500, and report your exact location.
If a door feels cool to the touch, open it cautiously. Be braced to slam it 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 a
fire tower.

Buerger Center for Advanced Pediatric Care Fire Emergency
Protocol
Notification to: Philadelphia
Fire Department (PFD)
Call 215-922-6000
Or call
911
Direct PFD to:
Civic Center Main Entrance

Condition Red
Announcement
Automated; none required

Condition White
Announcement
Announce in triplicate:

Condition Green
Announcement
Automated; none required

A fire has been reported in
this building:

Occupants staged at auxiliary
muster locations will need to
be advised at the relocation
locations.

If standing by or at stair
tower; exit the building. If
not, proceed to the nearest
stair tower and await further
instructions.
Consult PFD for further
evacuation instructions.

Emergency Operations Plan
Content is in development for upcoming version of this document.

Amenities

AMENITIES

Amenities
Amenities ............................................................................................................................ 2
Welcome Desk ................................................................................................................ 2
Welcome Center ............................................................................................................. 3
Dining Services ................................................................................................................ 4
Roof Garden (Opening Fall 2015) ................................................................................... 5
Leonard B. Kahn Discovery Walkway .............................................................................. 6
The Plaza ......................................................................................................................... 7
Wait, Play, Learn Areas ................................................................................................... 8
Guest Internet Access ..................................................................................................... 9

Amenities

Welcome Desk
The Buerger Center Welcome Desk is
available on the first floor in the
GIANT Lobby. The Welcome Desk
staff may provide the following
services:
•
•
•
•
•
•
•

Badging and screening including
a Megan’s Law Check
Dining information
Directions throughout the
CHOP campus
General information
Local hotel and attraction
information
Parking validation for visitors
and families
Taxi and transportation services
information

Figure 1: Welcome Desk

Welcome Center
The Welcome Center is located off the main first floor lobby of the Buerger Center. The
Welcome Center is managed by Volunteer Services. Volunteers will be stationed at the
Welcome Center and throughout the building to assist patients / families.
The Welcome Center provides multiple services for patients and families during their
visit at the Buerger Center, including:
•

Computer work stations, fax machine and
printer for open use

•

A Kosher Pantry for patients and families to
store and utilize during their visit

•

Lockers for use by patients and visitors
 Large and capable of housing a small
suitcase
Figure 2: Complimentary computer work stations
 Equipped with “hotel safe” type
locking mechanism that allows a user-defined combination

•

A Charging Station for Cell phones
 Patients and Visitors can leave their cell phone in a locked cell to charge
while they enjoy other amenities of the Buerger Center.
 Charging stations are locked and unlocked via a keypad using a userdefined combination.

Dining Services
Several choices for food and
vending are available for both
staff and visitors during regular
business hours.

Grab and Go – First Floor

Figure 3: First Floor dining area

Einstein Brothers Bagels –
First Floor

Figure 4: Einstein Brothers Bagels

Snack and Beverage Vending Machines – Clinic
Floors 2-5

Roof Garden (Opening Fall 2015)
The sixth floor roof garden not only provides a place of respite for staff and patients, but
also offers therapeutic opportunities.
The design of the fountain was inspired by the Schuylkill River. The layout of the
planting beds reference the street grid of Philadelphia. These features create a sense of
place within the local context.
During the phased construction and occupancy of the Buerger Center, patients may
access the space only by being accompanied by a staff member to the sixth floor. Please
reach out to Volunteer Services via their ASCOM number 16701 to arrange an escort.

Figure 5: The Sixth Floor Roof Garden opening Fall 2015

Leonard B. Kahn Discovery Walkway
Patients and their families can walk from the first to the second floor utilizing the
interactive walkway, in the form of a winding ramp. Acknowledgement of donors are
inscribed on the glass panels at the walkway landings.
There are interactive features for children along the walkway for patient and family use.

Figure 6: Leonard B. Kahn Discovery Walkway

The Plaza
The Plaza is located on the Raymond G. Perelman Campus between the Buerger Center
for Advanced Pediatric Care and the Colket Translational Research Building.
Embedded within a compelling framework of native plantings, meandering paths and
water features, the gardens of the plaza invite staff, patients, and the public to interact
with the healing qualities of the therapeutic landscape. A variety of spaces, from
immersive medicinal gardens to informal lawns, create a rich experience for the visitor.
Donor inscriptions can be found on pavers throughout the plaza. Please contact the
CHOP Foundation for any inquiries.
•
•
•

Plaza Maintenance Requests should be directed to Facilities Services
Plaza Cleaning Requests should be directed to Facilities Services
Plaza Event Requests should be directed to Public Relations

Figure 7: The Plaza

Wait, Play, Learn Areas
Each floor has embedded patient distraction areas for Wait, Play, and Learn activities.
These areas are located in the brightly colored pods near each clinic entrance.

Figure 8: Wait, Play, Learn area

•

Wait, Play, Learn Maintenance Requests should be directed to Facilities Services.

•

Wait, Play, Learn Cleaning Requests should be directed to Environmental
Services.

Guest Internet Access
There are several ways patients and families can connect to the Internet while at the
Buerger Center.
•
•

•

Wired computers are available for patient and family use in the Welcome Center,
located on the first floor of the Buerger Center.
Some departments offer access to wired computers in their family lounges and
playrooms. Check with the department staff or child life specialist for more
information.
Complementary wireless Internet access is provided to patients and families in
the Main Hospital, Children's Seashore House, the Wood Center, Buerger Center
for Advanced Pediatric Care, Colket Translational Research Building, and the
Abramson Research Building. To connect, ”chopguest” should be chosen as the
wireless network.

Please note that some sites are deemed inappropriate will be blocked from access.

Equipment and
Furnishings

EQUIPMENT AND
FURNISHINGS

Equipment and Furnishings
Equipment and Furnishings ................................................................................................ 2
Ergonomic Office Furniture ............................................................................................ 2
Touchdown Spaces ......................................................................................................... 2
Lockers ............................................................................................................................ 3
Locker Use ....................................................................................................................... 3
Copiers and Printers........................................................................................................ 4
Phone System features ................................................................................................... 4
ASCOM Phone System .................................................................................................... 7
Mail Service ..................................................................................................................... 8
HIPAA and Confidential Document Containers .............................................................. 9
Sustainable Waste Removal............................................................................................ 9
Time Clock Locations....................................................................................................... 9
Shared Building Features .................................................................................................. 10
Conference Rooms ........................................................................................................ 10
Staff Lactation ............................................................................................................... 10
Staff Lounges................................................................................................................. 11
Employee ID Badges...................................................................................................... 11
Special Events ............................................................................................................... 11
Patient Distraction Systems and Operation.................................................................. 12
Temporary Signage ....................................................................................................... 12
Digital Signage ............................................................................................................... 12

Equipment and Furnishings
Ergonomic Office Furniture

Ergonomic chairs and keyboard trays are standard features of the new Buerger Center.
The chairs and keyboard trays are fully adjustable.
For assistance on proper chair and keyboard adjustment, please contact Environmental
Health and Safety. They will schedule an ergonomic assessment and training.

Touchdown Spaces
The touchdown spaces are shared among the
Buerger Center floor occupants. Entry into
the touchdown spaces are by card reader
access.
Touchdown space desks have pedestal
storage units that may be secured while in
use using hotel-type locking mechanisms. If
an emergency override is needed, please
contact Security at x45500.

Figure 2: Typical touchdown desk locking mechanism
Figure 1: Buerger Center touchdown desk space

As touchdown desks are shared, locking
pedestals should be emptied and cleaned out each day before leaving the facility. This
will ensure other staff using the touchdown spaces have access to appropriate locked
storage.

Lockers
The majority of lockers in the Buerger Center are not
assigned to an individual and are used by staff that do
not have access to a touchdown
desk or office space.
The Buerger Center lockers
include both hanging and shelf
spaces. These lockers have a
short and tall portion to allow for
hanging jackets and short coats.
There are also three hooks inside
each locker.

3: Typical bank of lockers

The lower handicap-accessible lockers are equipped with a midheight shelf to provide ease of use from those in wheelchairs.
The locking mechanism is a programmable system similar to those
seen in hotel safes. See instructions below. If an emergency
override is needed, please contact Security at x45500.

4: Typical locker interior

As the lockers are shared by all staff, lockers need to be emptied
and cleaned daily to ensure all staff has locker space.

Locker Use
1.
2.
3.
4.
5.

To Close:
User chooses any available locker
Availability may be noted by RED or GREEN “in use” light
Press the “ZEPHYR” button
Enter a self-selected 4-digit code to lock and unlock
Press the “ZEPHYR” button again
To Open:
5: Programmable locking mechanism
1. Press “ZEPHYR” button
2. Enter the self-selected 4-digit passcode
3. Press “ZEPHYR” button
Note: The bolt stays open and the previous passcode is erased

Copiers and Printers
Copiers
•
•
•

There is a copier located in the workroom behind the Check-In desk on each
clinic floor.
The copiers are shared with all users on the floor.
Copy functions will require use of a departmental access code.

Printers
•
•

Multi-function printers are located throughout each area including offices and
team rooms.
Clinical printers are also located in each exam room.

Copier and Printer Support
•

For all copier and printer
issues, please place an IS
Request through the IS
Request system.

Figure 6: Copier and Printer Support

Phone System
features
The telephone system for the Buerger Center includes devices from the Cisco telephone
device line. On the following pages, a printable Cisco Quick Start Guide is provided for
easy reference. The Guide is also available on our @CHOP community.

ASCOM Phone System
As an additional method for staff communications, the ASCOM phone system and
ASCOM phones will be available in the Buerger Center. The typical ASCOM instruction
guide is below:

Mail Service
Content is in development for upcoming version of this document.

HIPAA and Confidential Document Containers
HIPAA and confidential document containers are located throughout clinic spaces.
Contact Environmental Services to request full containers be emptied.

Sustainable Waste Removal
EcoCHOP is the overall effort to green the Hospital, and includes recycling, red-bag
(biohazard) waste reduction, pharmaceutical and toxic waste management, medical
equipment reuse and green purchasing, among other initiatives. All building receptacles
both inside and outside will allow patients, visitors and staff to contribute to our
children’s future by creating a healthy planet with proper recycling.
In the Buerger Center, all waste is
separated into separate streams. In
office spaces and public areas,
receptacles are provided for co-mingled
recycling (blue) and general waste /
paper / food/ compost. In the staff
lounges and conference rooms, the
waste containers are built into the
cabinetry. The round opening is for comingled recycling and the square
opening is for paper / food / compost.

Figure 7: Recycling Initiative

Time Clock Locations
The time clocks for staff check in and out are located at each Staff
Elevator lobby.

Figure 8: Typical time
clock

Shared Building Features
Conference Rooms

There are multiple Conference Rooms throughout the Buerger Center for use by staff
and selected community events. Shared Conference Rooms are located on Levels P1,
and 2-5.
•
•

Staff may schedule use of the Conference Rooms through Outlook “Meetings”
Conference Room Furnishings:
 Some Conference Rooms have a dividing partition that allows for two
small rooms or one large room.
 Video Conferencing is available.
 Black Out shades are available to accommodate projection needs.
 The tables are equipped with a mechanism that allows the tops to flip up
for storage and caster locks.
 Chairs are stackable – Maximum stack height is six chairs.
 General instructions for use of the AV System and Projection Screen are
available in each room.

Staff Lactation
There are several lactation rooms labeled as Staff Lactation located on
the following levels/areas:
•
•
•
•

Level P1 – On main corridor near the staff restrooms (Room P1161)
Level 2 – South end of Radiology, near the PET MR (Room 2304)*
Level 4 – Around the corner from the North Staff Elevator (Room 4115)
Level 5 – Directly behind the Central Check-In Area (Room 5163)

All Lactation Rooms are equipped with an expression pump; accessories are to be
supplied by staff.
*Note: This room is located inside the MR suite with restricted access for MR and
Sedation staff.

Staff Lounges
Staff Lounges are located on Level P1 and Levels 2-5 for all staff to freely use. Amenities
include filtered water, refrigerators, microwaves, televisions and seating.

Employee ID Badges
There is an Employee ID / Badging station in the Security Command Center for
emergency badge replacements. The Security and Parking Office in the Main Hospital is
the primary location for obtaining badges. The Buerger Center Command Center is a
satellite facility, able to perform the same functions for staff ID needs and providing
needed access to the various areas of the building.

Special Events
The Buerger Center can host special events in several locations throughout the building.
•

For more information, please contact the Community Fundraising Team at
x66496 or the Special Events Department at x65600 or visit their intranet sites.

Figure 9: Aerial rendering of Buerger Center and event areas

Patient Distraction Systems and Operation
Patient distraction systems are provided for the
convenience of our patients and families.
Patient distraction systems are supported by
Facilities Services and IT. If any support or repair
is needed for the systems, please submit a
Facilities Services or IT service request.

Temporary Signage
•

•

Each elevator lobby includes a sleeve for
temporary signage (11 X 17) near the call
button panels.
All temporary signage requests for these
locations should be directed to your division
management staff.
Please refrain from hanging temporary
signage in any other area of the Buerger
Center.
Your division management staff should notify Facilities Services if a new,
permanent sign is required.

Digital Signage
Content is in development for upcoming version of this document.

Departments and
Divisions

DEPARTMENTS
AND DIVISIONS

Departments and Divisions
Departments and Divisions ................................................................................................. 2
Center for Childhood Communication (CCC): Speech-Language Pathology and
Audiology – Level 5 ......................................................................................................... 2
General Radiology & Ultrasound – Level 2 ..................................................................... 2
Hematology – Level 3...................................................................................................... 2
Infusion Center: Day Hospital – Level 3 .......................................................................... 3
Infusion Center: Day Medicine – Level 3 ........................................................................ 3
Magnetic Resonance Imaging (MRI) – Level 2 ................................................................ 3
Musculoskeletal – Level 4 ............................................................................................... 3
Oncology – Level 3 .......................................................................................................... 4
Orthopedics – Level 4 ..................................................................................................... 4
Otolaryngology (ENT) – Level 5....................................................................................... 4
PET MRI – Level 2 ............................................................................................................ 4
Pharmacy – Level 3 ......................................................................................................... 5
Phlebotomy – Level 3...................................................................................................... 5
Rehabilitation Therapy (PT/OT) – Level 4 ....................................................................... 5
Sedation – Level 2 ........................................................................................................... 6
Support Department – Biomed....................................................................................... 6
Support Department – Child Life .................................................................................... 6
Support Department – Environmental Services ............................................................. 7
Support Department – Outpatient Registration............................................................. 8
Support Department – Receiving Dock and Colket Translational Research Building..... 8
Support Department – Security .................................................................................... 10
Support Department – Supply Chain (Materials Distribution) ..................................... 10
Support Department – Volunteers / Welcome Center................................................. 11

Departments and Divisions

Along with some retail amenities, the following clinical and support departments and
divisions currently occupy space in the building:

Center for Childhood Communication (CCC): SpeechLanguage Pathology and Audiology – Level 5
•

•

The Speech-Language Pathology and Audiology divisions serve children with
hearing, communication and swallowing disorders via evaluation, treatment and
counseling services.
The Speech-Language Pathology and Audiology divisions are located on the fifth
floor of the Buerger Center.

General Radiology & Ultrasound – Level 2
•
•
•

The Radiology division serves children using the most radiation-free and lowdose options in pediatric imaging in the region.
The Ultrasound division uses the technology of sound waves to produce images
of organs and soft tissues inside the body.
The main areas of Radiology and Ultrasound are located on the second floor of
the Buerger Center.

Hematology – Level 3
•

•

The Hematology division provides outpatient services for children with
hematologic disorders. Patients are cared for by a multidisciplinary team in a
setting designed specifically for children and their families.
The Hematology division is located on the third floor of the Buerger Center.

Infusion Center: Day Hospital – Level 3
•

•

The Alex Scott Day Hospital is an infusion and transfusion unit where skilled
registered nurses provide evidence based, family centered care to Hematology
and Oncology patients.
The Alex Scott Day Hospital is located on the third floor of the Buerger Center.

Infusion Center: Day Medicine – Level 3
•
•

The Day Medicine division is an infusion and transfusion unit where skilled
registered nurses provide evidence based, family centered care our patients.
The Day Medicine division is located on the third floor of the Buerger Center.

Magnetic Resonance Imaging (MRI) – Level 2
•
•

The Special Imaging division of Radiology (MRI) produces images of the body’s
organs and structures by using magnets and radiofrequencies.
The Special Imaging division is located on the second floor of the Buerger Center.

Musculoskeletal – Level 4
•
•

The Musculoskeletal division, also known as MSSK, specializes in the care and
treatment of children with amplified musculoskeletal pain syndrome (AMPS).
The MSSK division is located on the fourth floor of the Buerger Center.

Oncology – Level 3
•

•

The Oncology division provides comprehensive care to newly diagnosed, ongoing treatment and long term follow up patients with childhood cancer. The
Oncology Clinic is a national and international referral center for specific diseases
and treatments.
The Oncology division is located on the third floor of the Buerger Center.

Orthopedics – Level 4
•
•

The Orthopedics division serves the patients with services that range from
broken arms and sports injuries to complex spine conditions.
The Orthopedics division is located on the fourth floor of the Buerger Center.

Otolaryngology (ENT) – Level 5
•

•

The Otolaryngology division, also known as ENT, diagnoses and treats children
with ear infections (otitis), hearing and speech disorders, airway and sinus
problems, and tumors of the head and neck.
The Otolaryngology division is located on the fifth floor of the Buerger Center.

PET MRI – Level 2
•

•

A PET/MRI (Positron Emission Tomography-Magnetic Resonance Imaging) unit is
a system that combines soft tissue imaging (MRI) and cellular function and
metabolic imaging (PET) together.
A PET/MRI scanner does not emit radiation. PET/MRI scans are an important
diagnostic tool as a scan can detect early metabolic changes in tissues or organs.
Use of this new technology is another example of CHOP’s commitment to be the
nation’s most advanced center for pediatric outpatient care.
The PET/MRI is located on the second floor of the Buerger Center.

Pharmacy – Level 3
•

The Pharmacy provides pharmaceutical care through decentralized teams of
staff pharmacists and technicians to meet the needs of patients and healthcare
professionals.

• The Pharmacy at the Buerger Center is a satellite pharmacy that prepares

•

specialty medications, chemotherapy, and related medications for patients being
treated in Buerger Center Infusion Center, including the Alex Scott Day Hospital,
the Day Medicine Unit, and the Oncology Clinic. The Pharmacy also provides
pharmaceutical services for all other clinics as required.
The Pharmacy is located on the third floor of the Buerger Center.

Phlebotomy – Level 3
•
•

•

The Phlebotomy Center serves the children through expert collection of blood
samples for ordered tests.
The satellite Phlebotomy area on Level 3 in the Buerger Center will serve as the
central building facility until the suite on Level 1 is complete. This satellite will
serve all Phlebotomy collection for the Buerger Center tenants.
The satellite Phlebotomy area is located on the third floor of the Buerger Center.

Rehabilitation Therapy (PT/OT) – Level 4
•

•

The Rehabilitation Therapy division (PT/OT Center) provides specialty
rehabilitation programs for children with neuro-cognitive, neuromuscular,
cardiopulmonary, integumentary, and musculoskeletal deficits and injuries.
Occupational therapy practitioners (OTs) are skilled professionals whose
education includes the study of human growth and development with emphasis
on the social, emotional and physiological effects of illness and injury. OTs are
trained in interventions that help individuals achieve independence in all facets.
They assist in developing the "skills for the job of living" necessary for
independent and satisfying lives.
The Rehabilitation Therapy division (PT/OT Center) is located on the third floor
of the Buerger Center.

Sedation – Level 2
•

•

The Sedation Center provides mild to deep sedation for a variety of diagnostic
and therapeutic procedures. Opportunities will exist for other outpatient
sedation services in the future.
The Sedation Center is located on the second floor of the Buerger Center.

Support Department – Biomed
The Department of Biomedical Engineering is responsible for the support and
maintenance of all medical equipment. Services for maintenance and repair include the
following items:
•
•
•
•
•
•

Buerger Center Office Location: P1106 (Level P1)
Scheduling electrical safety, performance and preventive maintenance of
medical equipment
On-site repair service of clinical equipment
Monitoring and correction all equipment related recalls and hazard bulletins
Reporting problems and trends involving the Hospital's equipment management
program to the Safety Committee
Evaluation of new devices and technologies

Support Department – Child Life
•

•

Child Life staff specialize in working with children to understand the unique
stressors that can accompany a medical illness. By using the age-appropriate
education, preparation and supportive activities, Child Life staff strive to
minimize stress and help children and their families cope positively with their
healthcare experience.
The Child Life, Education and Creative Arts Therapy Department is staffed with
Child Life Specialists, Child Activity Coordinators, Recreation Therapists, Music
and Art Therapists, Certified School Teachers, Family Librarians and Family
Consultants.
Child Life is located in several areas of the Buerger Center.

Support Department – Environmental Services
The Environmental and Linen Services Department provides housekeeping services,
waste management, sleep surface movement and linen services.
•
•
•
•
•

Buerger Center Office Location: P1235 (Level P1)
Main Hospital Office Hours of Operation: 7:00 a.m.-11:30 p.m. Monday - Friday
Main Office Phone #: x42813
After Hours: pager # 10557
Service Hours provided by Environmental and Linen Services Staff:
 7:00am-1:30am Monday-Friday
 Special events, weekend clinic hours per scheduled as requested

Daily Services provided by Environmental and Linen Services
•
•
•

•
•

Day Shift- Restroom Cleaning monitoring
Day Shift- Full Clean Pharmacy
Evening Shift- Full Clean Clinic Areas (includes offices, treatment rooms, exam
rooms, conference/staff rooms, public and staff restrooms, and the wait, play,
learn areas)
Evening Shift- Floor Care
Linen Delivery (Please help us conserve by taking only what is necessary into the
room.)

Periodic Services provided by Environmental and Linen Services
•
•
•

Carpet Shampooing (Please call us immediately if there is a spill so we can
address it.)
Floor Stripping and Refinishing (VCT)
Floor Restoration (Rubber)

Outside Contracts managed by Environmental and Linen Services
•
•
•

Window cleaning
Specialty cleaning (equipment, furniture)
Cubicle curtain cleaning

•

•
•

•

•
•
•

Pest services
 Help control pests in your area by ensuring all food waste is properly
placed in the receptacle provided and not left out on counter tops, desks,
sinks. Be sure your area is clutter free as this could present a breeding
opportunity for certain pests.
Walk off mats
Waste removal
 In compliance with EcoCHOP only desk-side recycling receptacles are
available. All landfill waste and compost waste should be placed in the
receptacles provided within your department. Cardboard/packaging
materials should not be left in corridors. For safety and aesthetics please
take to designated soiled room or call our office for assistance.
Confidential waste removal
 Contact our main office for instructions for purging/cleanouts of
confidential waste.
Pressure cleaning
Sharps removal
Restroom air freshener

Support Department – Outpatient Registration
Patient Service Representatives provide quality care in patient registration and
scheduling and all of its support processes to patients, providers, and payors throughout
a patient's and family’s healthcare experience.
•

The Welcome Kiosk enables the user to Check-In, pay the co-pay for the patient
visit, update demographics, and print documents and receipts.

Support Department – Receiving Dock and Colket
Translational Research Building
The Buerger Center shares a loading dock with the Colket Translational Research Building
(CTRB) facility. The Buerger Center is connected to the Receiving Dock by a corridor of

the P1 Level. Trucks will dock at the shared location where they will be processed and
routed to the appropriate building.
•

Packages for the Buerger Center need to be routed to this shared facility and not
sent to the main hospital loading dock.
• Customers should be specifying that the delivery locations for packages will be
changing to the new shared dock.
• Staff will need to utilize a new shipping location within the Lawson system to
ensure that their packages are delivered to the appropriate locations.
• The Buerger Center address is 3500 Civic Center Boulevard.
Note: No personal packages should be sent to your work location. Only hospital
related packages, please.

Receiving Dock
The Receiving Dock is an area where Lawson-ordered packages are accepted. Both a
security guard and a Dock Master are located at the dock. After Security screens the
vehicle, the Dock Master checks the paper work for actual location for the delivery.
He/she then instructs the drivers where to park. The packages delivered are then
processed via Lawson in the following process:
1.
2.
3.
4.

Package gets checked by staff for correct contents and quantity.
PO number is located and used in Lawson to log in the order.
Two copies of the order are printed for the receiver and for Supply Chain.
Location of package is checked and marked on the Supply Chain copy along with
a line for a signature from the recipient.
5. Package gets delivered by Receiving department to the identified location.
6. If package or contents are damaged, the package is placed in the “problem”
package pile where further steps are needed to correct the “problem”.
7. If there is return, UPS is used to ship it out.

Colket Translational Research Building (CTRB)
The Loading Dock Receiving Office accepts ALL packages because carriers are not
allowed inside the building with the exception of the vendor, Airgas. If a Lawsonordered package arrives, the same process as above is used. Otherwise, an exception is
made to non-Lawson packages and is still delivered.

Support Department – Security
The Security Department staff are dedicated to assisting and protecting all patients,
staff and visitors who come to our campus every day.
•

•
•
•

We encourage all staff members to be alert to their surroundings and to take
precautions with their personal valuables by securing them when not in use. We
also encourage everyone to report crimes or suspicious activity immediately.
The Security Department is staffed round the clock by highly trained and
motivated individuals.
Location of Security Command Center and offices: Rooms 1135-1139
Security Supervisor Phone #: x42374

Support Department – Supply Chain (Materials
Distribution)
CHOP Supply Chain manages medical and surgical supplies throughout the hospital.
Supply Chain includes approximately 125 resources and is responsible for management
of Supplier Transactions from inception of goods and services quotes through the
payment of invoices.
The main departments of Supply Chain include: Sourcing and Contracting, Procurement,
Process & Technology, Materials Distribution, Receiving, Print Shop, and Mailroom
Services.
•

•
•
•

The CHOP Supply Chain Materials Distribution Team, referred to as MDT,
supports the Buerger Center out of the central warehouse on the A-Level of the
Main hospital.
Normal Business Hours: x62400 Main Supply Chain phone number for all
departments.
24x7 Support: x53517 Materials Distribution Support Line for supplies and
medical equipment.
Supply Chain Intranet site http://intranet.chop.edu/sites/supply_chain/home.html - includes all job aides,
forms, and additional information on services.

Support Department – Volunteers / Welcome Center
All volunteer activities support the needs of the patients, families and staff. Our
volunteers perform many activities including playing games with patients, visiting
patients, delivering toys and offering breaks to tired parents.
•

Volunteer Services ASCOM number: 16701

Features and Systems
of the Divisions

FEATURES AND
SYSTEMS

Features and Systems of the Divisions
Features and Systems of the Divisions ............................................................................... 2
Rehabilitation Therapy Climbing Wall ............................................................................ 2
Sound Booths in the Center for Childhood Communication .......................................... 2
PET/MRI in the Radiology Division.................................................................................. 2
MRI Zoning in the Radiology Division ............................................................................. 3

Features and Systems of the Divisions
Rehabilitation Therapy Climbing Wall
As a feature of Physical Therapy, the Buerger Center includes a Rock
Climbing Wall on the fourth floor. As part of this feature, specific
staff will be certified for training and use of the Climbing Wall for
patient therapy.

Sound Booths in the Center for
Childhood Communication
As part of the Center for Childhood Communication, the
Audiology Division has nine custom sound booths
designed to provide state-of-the art hearing
assessments for children of all developmental levels.

PET/MRI in the Radiology Division
A PET/MRI (Positron Emission Tomography-Magnetic
Resonance Imaging) unit is a system that combines soft
tissue imaging (MRI) and cellular function and metabolic
imaging (PET) together. As part of this innovative combined
technology, each unit can still function as a separate imaging
system.
PET/MRI scanners DO NOT emit radiation which is important since it is the patients who
become radioactive due to the isotopes they are given for scans. The strength of the
isotope given determines the length of time it takes the radioactivity to leave the
patient. PET/MRI scans are an important diagnostic tool because these scans make it
possible to detect early metabolic changes in tissues or organs.

MRI Zoning in the Radiology Division
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

MRI Suite Safety
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.
Finally, to ensure all zone protocol is followed, always check with MRI technologist
before entering the suite.

Supplies and
Restocking

SUPPLIES AND
RESTOCKING

Supplies and Restocking
Supplies and Restocking ..................................................................................................... 2
Supply Management ....................................................................................................... 2
PAR Excellence System for Supplies ............................................................................... 2
Emergency Restocking (SOS / STATS) ............................................................................. 4
Bedside and Mother (Stocking) Carts ............................................................................. 5
Code (Crash) Carts .......................................................................................................... 5
Medical Gas (Tanks) ........................................................................................................ 6
Pumps ............................................................................................................................. 7
Durable Medical Equipment ........................................................................................... 8
Linen Services.................................................................................................................. 8

Supplies and Restocking
Supply Management

The Supply Chain Department may be contacted through many mechanisms including:
•
•
•

Normal Business Hours: x62400 Main Supply Chain Phone Number
Materials Distribution Support: x53517 for 24x7 support for supplies and medical
equipment
Supply Chain Intranet site http://intranet.chop.edu/sites/supply_chain/home.html - includes all job aides,
forms, and additional information on services beyond what is covered in this
document.

PAR Excellence System for Supplies
The PAR Excellence (PAREx) system is a
supply storage and management system
based on a bin and scale structure. The
scales calculate the quantity of items in
the bin by weight.
The program automatically notifies MDT
staff when a product needs to be refilled
so that a unit does not have supply
outages.

Figure 1: Par Excellence supply bin system

PAR Excellence manages both chargeable
and non-chargeable items. Chargeable
items are kept inside a cabinet while nonchargeable items are located on shelving units
and in open bins.

If an item is chargeable, the staff taking the
item out must select the patient they are
getting the supplies for before physically
taking the item out of the cabinet. They are
to then take the items out and check the
computer to make sure whether or not the
correct item and quantity is being noted on
the computer.
If everything is correct, the staff will select
“confirm” on the computer to charge the
patient.
Figure 2: Par Excellence workstation

Figure 3: Par
Excellence secure
supply system

Emergency Restocking (SOS / STATS)
If a supply is needed for a patient and is not readily available or has been depleted, a
request for special delivery of product may be made via a call to MDT Customer Services
on the Customer Service Hotline, 4-3517. This special delivery is referred to as an SOS
/STAT after the distress code used by the Navy or the STAT medical term meaning
immediately.
SOS is an order that needs to be delivered within 45 minutes to an hour
STAT is an order that needs to be delivered within 15 minutes

SOS/STAT Process:
1. A Staff Member calls customer service for an order
2. A SOS/STAT form is then filled out by customer
service
3. The customer service staff will check Lawson in
order to
a. Clarify what is needed
b. Verify stock quantity that is available
c. Perform a transaction to charge the
department for the supplies
4. When the order is confirmed, a transaction sheet
(IC21) will be printed and it contains:
a. Product info
b. Quantity of product
c. Time of order
d. Who is to be charged
Figure 4: SOS / STAT form sheet
5. The IC21 is then attached to the SOS/STAT form
6. Customer service creates a ticket and delivers the pick request to the storeroom
supervisor or designated staff
7. Inventory tech or carousel operator will pick the items on the list
8. Items and paperwork are returned to customer service
9. Order gets delivered and department staff must sign SOS/STAT form with time of
order arrival
If an SOS/STAT is not delivered in the standing service levels, the customer should call
MDT customer service line to request a status update. If SOS/STAT delivery falls
significantly outside of the agreed upon SLA and has a potential to cause patient harm, a
Safety Net should be filed to expedite root cause analysis and escalation.

Bedside and Mother (Stocking) Carts
Bedside and mother (stocking) carts are maintained by MDT. The bedside carts usually
do not leave the patient or exam room and thus they are replenished via the stocking
cart by a staff member. The stocking cart is a large transport cart filled with everything
needed in a bedside cart.
Since the bedside carts do not have a PAR Excellence system in them, a staff member
takes the stocking cart to the room and manually refills whatever needs to be
replenished. Ideally, the supplies that are in the carts do not need to be stocked in the
clean supply room of the department. Bedside cart supplies may vary depending on the
department.

Code (Crash) Carts
Code Carts are located throughout the Hospital and the Buerger Center. They are only
used when a patient codes or during life support protocols. Code Carts have been
constructed to include all critical items
which may be needed during a life
threatening event of resuscitation.
Once a Code Cart is utilized, Supply Chain is
contacted to replace the Code Cart. MDT
will send a staff member with a new Code
Cart and return with the used Code Cart to
ensure it is properly restocked and stored
for re-issued.
Code Carts are stored and will be
replenished to the Buerger Center from the
Main Supply Store Room on the A-Level with
the same protocols which exist in the
current processes utilized in Wood and
Seashore House.

Figure 5: Typical Code Cart

Medical Gas (Tanks)
Tanks are stored in a designated room on Level P1 next to the MDT store room. The
tank room contains a full bin and an empty
bin for the tanks and contains the
following tanks in different sizes:
•
•
•
•
•

Oxygen
Helium
Nitrogen
Compressed Air
Carbon Dioxide

Tank Replenishment Process
1. If a department needs a tank, they
Figure 6: Medical gas tanks
have to par for the item.
2. A ticket then populates in the supply room on the A-level and a staff member will go
to the tank room to retrieve the appropriate tank.
3. Before leaving the room, staff must wear gloves and wipe down the tank with the
wipes provided next to the door.
4. The item gets transported via a tank cart.
5. The ticket gets closed and the tank gets delivered to the department.
6. When staff drops off the full tank, they also retrieve the empty tank and bring it back
down to the tank room.
Note: The empty tank is never fully empty.

Pumps
Pumps have a par level that is maintained and replenished in the
evening by Sterile Processing (SPD).
•
•

•
•

•

If the par level runs low during the day and a pump is needed,
the unit calls SPD who will deliver a pump.
Extra pumps are stored in the clean rooms in the units that
utilize them. Clean pumps are bagged and delivered to the
clean room by SPD.
Pumps are cleaned between patients by the Environmental
Services staff who serve the unit.
Broken pumps are tagged by the unit with yellow Biomed
repair tags and placed in the soiled room on the unit. The
pumps will be picked up by SPD each evening.
Excessively soiled pumps that cannot be cleaned on the unit
are placed in the unit’s soiled room for pickup by SPD.

Figure 7: Typical pump configuration

The different types of pumps consist of:
•
•
•
•
•
•

Enteral Feeding Pumps
Med Fusion
Alaris
Alaris Patient-Controlled Analgesian (PCA)
Prism Pumps
Flow Tron Pumps
Figure 8: Typical pump

Durable Medical Equipment
Durable Medical Equipment is
categorized as equipment that is
long-lasting, used only for medical
reasons, and can be used in a
patient’s home.

DME Request Process

Figure 9: Durable medical equipment

1. Call Customer Service at x43517 and place an order (as a SOS/STAT) for the DME.
2. The equipment is “parred” out.
3. MDT staff will go to the clean room (where clean pumps are also stored) and
retrieve the appropriate item.
4. The equipment will then be delivered by staff via the same process as an
SOS/STAT procedure.

Linen Services
Environmental Services Department (ESD) will supply linen in the Buerger Center.
Exchange Carts will be exchanged each evening after clinic hours have ended.
Soiled Linen should be placed in the designated areas of the Soiled Holding rooms in
each clinic for evening exchange. Linen hampers are located throughout the areas as
appropriate.
Please call Environmental Services at x42813 for emergency clean ups, etc., as needed.

Building Wide
Elements

BUILDING WIDE
ELEMENTS

Building Wide Elements
Building Wide Elements ...................................................................................................... 2
Nurse Call System ........................................................................................................... 2
Restroom Local Pull Cord ................................................................................................ 3
Barcode Medication Administration............................................................................... 4
Refrigerator Temperature Monitoring ........................................................................... 5
Ceiling-Mounted Patient Lifts ......................................................................................... 8
Positive and Negative Pressure Rooms .......................................................................... 9
Exam and Treatment Room Device Support .................................................................. 9
High Level Disinfection.................................................................................................... 9
Pneumatic Tube System................................................................................................ 10

Building Wide Elements
Nurse Call System

The Nurse Call System in the Buerger Center is located in higher acuity patient care
areas such as Sedation and the Infusion Center including Oncology Day Hospital and Day
Medicine.
For Service – Call the HELP DESK @ “4HELP” (44357)
The general sequence of events for Nurse Call Annunciations is as follows:

Visual Annunciations
1. Unit Clerk Master Console at designated Nursing Stations (Displays Room #,
Patient Bed #, Priority, and Duration of Call)
2. Patient Room Corridor Lamp (Displays Room’s HIGHEST call priority by color)
3. ASCOM Phone (Displays Nursing Unit, Room #, Patient Bed #, and Priority of Call)
4. Zone Lamps located in corridors (where applicable) mimic Unit Corridor Lamp
Color and Sequence.
5. Duty Stations located throughout Nursing Unit (Mimics Corridor Lamp Color and
Sequence)
a. Soiled Utility, Clean Utility – Annunciates all call priorities
b. All other duty Stations Annunciate Code Blue and Staff Assist Only

Audible Annunciations (Priority Tones)
1. Master Console at designated District Nursing Stations (Sounds the Highest Call
Priority in queue)
2. Duty stations located throughout Nursing Unit (Mimics Console Tone for Code
Blue and Staff Assist in queue)

Code Blue – Alarm Distribution
1. Nursing Unit Console(s)
2. ASCOM Phone(s)
3. Transport

Restroom Local Pull Cord
Patient restrooms and dressing rooms are equipped with pull
cords if a patient requires assistance. When activated, these pull
cords will do the following:
•
•

Illuminate the dome lamp outside of the room with two
flashing red lights
Sound an audio tone outside the room

Cancelling a Pull Cord Call
•

Canceling calls made from these pull cords must be done manually in the room
where the call was made.

Manual Call Cancel
Button

Barcode Medication Administration
Barcode Medication Administration (BCMA) is quickly becoming the safety standard for
the industry as clinical research has demonstrated it has the potential to reduce
medication errors. Integrated with Epic, BCMA helps ensure the correct patient is
receiving the correct medication at the correct time while enhancing documentation of
the event.
The implementation of BCMA provides additional support for the Six Rights of
Medication Administration, providing an additional layer of safety protection for our
patients. Further, BCMA will enable CHOP to gather more direct clinical process and
quality data without relying solely on self-reporting data. This data will be a powerful
tool for the evaluation and improvement of the medication use process.
For the Buerger Center, the BCMA Armband is received by the patient at the Check-In
Desk. The barcode on the armband is scanned with scanners that are attached to
clinical use computers in the patient care areas.
BCMA has been implemented for patients on Level 2 and Level 3.

Refrigerator Temperature Monitoring
Departmental Responsibilities for all Refrigerators and Freezers
The unit-level leader in the area is responsible for coordinating the collaboration
between Support Services when a new refrigerator or freezer is needed, or the existing
refrigerator or freezer needs repair or replacement.
DEVICE

MANAGEMENT
of CONTENTS

CONTENTS

INTERNAL
CLEANING

TEMPERATURE
MONITORING
(temps out of
range are
reported to
Facilities Services)

EXTERNAL
CLEAN/WIPE
DOWN

PLACEMENT,
REPAIR &
PREVENTATIVE
MAINTENANCE

Human Milk
refrigerators/
freezers

Nursing
Lactation Team

Human Milk
Only

Nutrition
Services

Environmental
Services

Facilities
Services

Clinical-based
ice/water
dispensing
machines

Environmental
Services

Facilities
Services

Family
Lounge
refrigerators
/freezers

Nursing

Family Provided
Food Only

Environmental
Services

Nutrition
Services

Environmental
Services

Facilities
Services

Laboratory
Specimen
refrigerators

Individual unit
where located

Lab
Specimens/Lab
Supplies Only

Individual unit
where located

Environmental
Services

Facilities
Services

Patient
Nourishment
Room
refrigerators/
freezers

Nutrition
Services

Hospital
Provided Food
Only

Nutrition
Services

Environmental
Services

Facilities
Services

DEVICE

MANAGEMENT
of CONTENTS

CONTENTS

INTERNAL
CLEANING

TEMPERATURE
MONITORING
(temps out of
range are
reported to
Facilities Services)

Patient
Nourishment
Room
refrigerators
/ freezers
(Surgery
centers, Care
Network
sites, Clinics)

Medication
refrigerators
(Inpatient
Care Units)

Individual unit
where located

Hospital
Provided Food
Only

EXTERNAL
CLEAN/WIPE
DOWN

PLACEMENT,
REPAIR &
PREVENTATIVE
MAINTENANCE

Individual unit
where located

Facilities
Services

Medications
Only

Pharmacy

Environmental
Services

Facilities
Services

Medications
Only

Individual unit
where located

Facilities
Services

Staff Food
Only

Individual
Department

Environmental
Services

Facilities
Services

Individual unit
where located

Environmental
Services

Individual unit
where located

(Food may come
from hospital or
staff may
purchase food
locally to suit
their specific
patient/clinical
needs)

Pharmacy

Medication
refrigerators,
(Surgery
centers, Care
Network
sites, clinics)

Individual unit
where located

Staff
refrigerators
/freezers

Individual
Department

Water Ice,
“ICEE”
Machine

Individual unit
where located

Patient Food Refrigerators and Freezers: Responsibility for Food
Storage and Labeling

Patient/Family Lounge Refrigerators &
Freezers: Foods brought from home or
outside of the hospital

Responsibility for
storing patient food

The nurse and/or family member will
store the food brought from home in the
Patient Family Lounge refrigerator or
freezer, separate from medication,
chemicals or specimen in designated
refrigerator/freezer.

Responsibility for
labeling patient food

•
•

Label: Obtain Patient Food Labels
from Standard Register, #NUT-002
All food and containers are to be
labeled with: Patient’s name
Patient’s room number (if
applicable) Date

Patient Nourishment Room Refrigerators
& Freezers:
Foods from Food Service including snacks
and After Hour meals
The Food Service staff will store patient
nourishment snacks or after hour meals in
the Patient Nourishment Room refrigerator
or freezer, separate from medication,
chemicals or specimen in designated
refrigerator/freezer.

•

Label: Label is generated from Epic

•

All food and containers for specific
patients are to be labeled with:
Patient’s name
Patient’s room number
Date

Preventing
contamination

All food and containers must be securely All food and containers must be securely
covered to prevent contamination.
covered to prevent contamination.

Discarding expired
food

•

•
Responsibility for
maintaining the
contents of the
refrigerator or
freezer

Food should be discarded 48 hours (2
days) from date food is placed in
refrigerator and/ or according to
product expiration date for frozen
items in freezer.
Nursing is responsible to insure that
expired food is discarded

Content management to check dating and
labeling occurs through Nursing.

•

Food should be discarded 48 hours (2
days) from date food is placed in
refrigerator and/ or according to
product expiration date for frozen
items in freezer.
The Food Service Staff is responsible to
insure that expired food is discarded

Content management to check dating and
labeling occurs daily in Patient Nourishment
Room by the Food Service Floor Stock
Team.

Ceiling-Mounted Patient Lifts
Patient lifts are located in various patient encounter rooms in the building. Please
follow CHOP Policy when using these patient and staff safety devices.
Common Activities for which lifts may be used:
•
•
•
•
•

Lifting from the floor
Transfer to exam table / bed
Lateral transfer
Lifting limbs
Repositioning

Patient Lift Training
Be sure you have received training on the lift provided in your area. Contact your
division manager for information about patient lift training.

Positive and Negative Pressure Rooms
Content is in development for upcoming version of this document.

Exam and Treatment Room Device Support
As part of a standardized design, common elements for all exam rooms in the Buerger
Center include:
•
•
•
•

Clinical Devices such as otoscope and ophthalmoscope – supported by Biomed
IT devices such as PCs, monitors, printers, and dome lights – supported by CHOP
IS
Furniture such as exam table, chairs, provider table and provider stool –
supported by Facilities Services
Building-related items such as sinks, power, lighting, sharps containers, and
hand-gel dispensers – supported by Facilities Services and Environmental
Services

High Level Disinfection
Rooms that are used to perform High-Level Disinfection have humidity and temperature
ranges based off the AAMI guidelines for air exchanges per hour, humidity and
temperature. In the Buerger Center, the Scope Processing room is located on Level 5
and is used for High-Level Disinfection.
Please follow the Guidelines for Cleaning and Disinfection Practices of Patient Care
Items policy for this room as noted on the employee intranet.

Pneumatic Tube System
The Buerger Center is connected to the Main Hospital pneumatic tube system via a 4inch tube connection. Tube stations are located in the following spaces:
•
•
•
•
•

Sedation Center Nurse Station (Level 2)
Infusion Center Nurse Station (Level 3)
Oncology Clinic (Level 3)
Pharmacy (Level 3)
Phlebotomy (Level 3)

The Buerger Center also has a 6-inch pneumatic tube system that connects Phlebotomy
and the Infusion Center on the third floor directly to the Core Lab in the Main Hospital.
If there are service issues with the pneumatic tube system, please contact Facilities
Services at x41046.

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