Occupancy Manual Buerger Center For Ambulatory Services V1 1

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Version 1.1, July 2015

OCCUPANCY MANUAL

The

Buerger

Center

for

Advanced

Pediatric

Care

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

related specialties

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.

The Buerger Center for Advanced Pediatric Care

3500 Civic Center Boulevard, Philadelphia, Pennsylvania 19104

GENERAL

General Building

Information

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

Extension

ASCOM

Welcome Desk

Welcome Center

Security – Buerger Center

x45500

Registration – Second Floor

Registration – Third Floor

Registration – Fourth Floor

Registration – Fifth Floor

Environmental and Linen Services – Buerger

Center (after hours pager 10557)

x42813

Materials Distribution – Main

x62400

Materials Distribution – Supplies & Medical

Equipment

x53517

Biomed – Buerger Center

Facilities Services – Call Center

X41046

Grab and Go

Einstein Brothers Bagels

Parking – Buerger Center

Interpreter Services

x42119

Volunteer Services

16701

IS Help Desk

Medical Emergency

x42633

Phlebotomy – Buerger Center support

21259

Radiology – Buerger Center support

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.

• 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

Figure 3: Indego bike share station

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

• Located one level

below the street

entry.

• This floor houses

Biomed, Facilities

Services, and

Environmental

Services.

• Includes

handicap-

accessible

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 6: Level P1 Departments and Divisions

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.

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 8: Level 2 Departments and Divisions

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.

Level 5 – Center for Childhood Communication,

Speech / Audiology and ENT

• Accessible via

patient elevators.

• Houses Center for

Childhood

Communication

(Speech /

Audiology) and

ENT.

Figure 10: Level 4 Departments and Divisions

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

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 12: Public restroom locations

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.

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 14: Patient restroom locations

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

points located on each of the three visitor levels of the

garage.

• If a wheelchair repair is needed when a wheelchair is broken, please call

Facilities Services, x41046.

Figure 16: Typical

wagon transport

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.

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

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.

Figure 17: Respiratory etiquette station

Figure 18: Rendering of Wait, Play, Learn area

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 co-

payments 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

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.

Figure 19: Typical CHOP Check-In kiosk

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

Construction Workers

Catering Companies

City, County, State and Federal Agencies

Employees of Clinical Staffing Agencies

EMT’s

Gift of Life

Insurance, Finance and Legal Companies

Healthcare Facilities

Joint Commission or other regulatory agencies

Non-profit groups (NOT including vendors)

Local “cash and carry” vendors-local grocery stores,

hardware stores, gift and flower shops

Temp labor employees who work full-time at CHOP

Travel Industry (airline, auto rental, hotel, travel agents)

If the VendorMate kiosk is not working, call 4-Help or contact Pam Washington (267-

426-7145) 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.

Patient and Provider Locator System

Content is in development for upcoming version of this document.

Figure 20: Fed Ex and UPS drop off boxes

SAFETY AND

SECURITY

Building Features for

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

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 4-

CODE (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.

Figure 2: Typical Crash Cart and AED

station

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 multi-

disciplinary, 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.

2. ALARM

Pull the nearest manual fire alarm pull station. Call Security at x45500 and state

the exact location of the fire.

3. 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.

4. 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)

Condition Red

Announcement

Condition White

Announcement

Condition Green

Announcement

Call 215-922-6000

Or call

911

Direct PFD to:

Civic Center Main Entrance

Automated; none required

Announce in triplicate:

A fire has been reported in

this building:

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.

Automated; none required

Occupants staged at auxiliary

muster locations will need to

be advised at the relocation

locations.

Emergency Operations Plan

Content is in development for upcoming version of this document.

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

 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 user-

defined combination.

Figure 2: Complimentary computer work stations

Dining Services

Several choices for food and

vending are available for both

staff and visitors during regular

business hours.

Grab and Go

– First Floor

Einstein Brothers Bagels

–

First Floor

Snack and Beverage Vending Machines

– Clinic

Floors 2-5

Figure 3: First Floor dining area

Figure 4: Einstein Brothers Bagels

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.

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

• Wait, Play, Learn Cleaning Requests should be directed to Environmental

Services.

Figure 8: Wait, Play, Learn area

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

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.

Figure 1: Buerger Center touchdown desk space

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.

The lower handicap-accessible lockers are equipped with a mid-

height 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.

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

To Close:

1. User chooses any available locker

2. Availability may be noted by RED or GREEN “in use” light

3. Press the “ZEPHYR” button

4. Enter a self-selected 4-digit code to lock and unlock

5. Press the “ZEPHYR” button again

To Open:

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

3: Typical bank of lockers

4: Typical locker interior

5: Programmable locking mechanism

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.

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.

Figure 6: Copier and Printer Support

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 co-

mingled recycling and the square

opening is for paper / food / compost.

Time Clock Locations

The time clocks for staff check in and out are located at each Staff

Elevator lobby.

Figure 7: Recycling Initiative

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): Speech-

Language 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 low-

dose 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, on-

going 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. Package gets checked by staff for correct contents and quantity.

2. PO number is located and used in Lawson to log in the order.

3. Two copies of the order are printed for the receiver and for Supply Chain.

4. 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 Lawson-

ordered 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

Features and Systems

of the Divisions

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.

PAR Excellence manages both chargeable

and non-chargeable items. Chargeable

items are kept inside a cabinet while non-

chargeable items are located on shelving units

and in open bins.

Figure 1: Par Excellence supply bin system

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 3: Par

Excellence secure

supply system

Figure 2: Par Excellence workstation

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

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.

Figure 4: SOS / STAT form sheet

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

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.

Figure 6: Medical gas tanks

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.

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

Figure 7: Typical pump configuration

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

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.

Figure 9: Durable medical equipment

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

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

Individual unit

where located

Environmental

Services

Facilities

Services

Patient

Nourishment

Room

refrigerators/

freezers

Nutrition

Services

Hospital

Provided Food

Only

Nutrition

Services

Nutrition

Services

Environmental

Services

Facilities

Services

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

Patient

Nourishment

Room

refrigerators

/ freezers

(Surgery

centers, Care

Network

sites, Clinics)

Individual unit

where located

Hospital

Provided Food

Only

(Food may come

from hospital or

staff may

purchase food

locally to suit

their specific

patient/clinical

needs)

Individual unit

where located

Individual unit

where located

Individual unit

where located

Facilities

Services

Medication

refrigerators

(Inpatient

Care Units)

Pharmacy

Medications

Only

Pharmacy

Environmental

Services

Facilities

Services

Medication

refrigerators,

(Surgery

centers, Care

Network

sites, clinics)

Individual unit

where located

Medications

Only

Individual unit

where located

Individual unit

where located

Individual unit

where located

Facilities

Services

Staff

refrigerators

/freezers

Individual

Department

Staff Food

Only

Individual

Department

Environmental

Services

Facilities

Services

Water Ice,

“ICEE”

Machine

Individual unit

where located

Individual unit

where located

Environmental

Services

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

Patient Nourishment Room Refrigerators

& Freezers:

Foods from Food Service including snacks

and After Hour meals

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.

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.

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

•

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

covered to prevent contamination.

All food and containers must be securely

covered to prevent contamination.

Discarding expired

food

• 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

• 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

Responsibility for

maintaining the

contents of the

refrigerator or

freezer

Content management to check dating and

labeling occurs through Nursing.

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

• 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 4-

inch 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.

Occupancy Manual Buerger Center For Ambulatory Services V1 1

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