Contents Infrastructure Unit System Support IUSS New South African guidelines, norms and standards – Infrastructure Unit System Support IUSS Presentation to BUILDING DESIGN & ENGINEERING APPROACHES TO INFECTION CONTROL at University of Pretoria 10 July 2015 by Peta de Jager

Healthcare environment/ crosscutting issues Procurement and operation 11/26/2018 Clinical services Adult Inpatient Services Laboratories Mental Health Adult Critical Care Emergency Centres Maternity Care Facilities Oncology Outpatient Services Paediatric and Neonatal Facilities Pharmacy Primary Health Care Diagnostic Radiology Adult Physical Rehabilitation Adult Post-acute Services Facilities for Surgical Procedures TB Services Support services Admin & Related General Hospital Support Catering Services Linen and Laundry Hospital Mortuary Services Nursing Education Institutions Health Facility Residential Central Sterilising Services Department Training and Resource Centre Infrastructure Design for Waste Management Healthcare environment/ crosscutting issues Generic Room Data Security Engineering design principles Environment and Sustainability Materials and Finishes Future healthcare environments Healthcare Technology Inclusive environments Infection prevention & control Information Technology & Infrastructure Procurement and operation Integrated infrastructure planning Project planning and briefing Space guidelines Cost Guidelines Innovative Building Technologies Commissioning Maintenance Decommissioning Capacity development X X X X X X LEGEND Gazetted Guidelines Toolkits Position papers Regulations X X Regulations Regulations

Norms and standards - approach PRINCIPLES OF HEALTHCARE BUILDING DESIGN AND ENGINEERING First, do no harm. Lean. Green. Legible.

LEAN Cost-model tools: Order of magnitude estimators for greenfield & brownfield capital work Clinics & hospitals Cash flows Operating costs incl. maintenance Maintenance estimators Detailed estimators Briefing Commissioning & decommissioning Maintenance

Norms and standards - green Annual cooling degree.hours

LEGIBLE

LEGIBLE

Courtesy: Nicholas Thorne 11/26/2018 2018/11/26 Courtesy: Nicholas Thorne http://www.amadeusfunding.com/construction-invoice-factoring/

Courtesy: Nicholas Thorne 11/26/2018 2018/11/26 Courtesy: Nicholas Thorne

11/26/2018 Brown-field Courtesy: Nicholas Thorne

Courtesy: Nicholas Thorne 11/26/2018 2018/11/26 Courtesy: Nicholas Thorne

Applicability Gazette No prospective public sector 37348: R116, 17 February 2014 37790: R512, 30 June 2014 38776: R4141, 8 May 2015 prospective public sector

Resources www.iussonline.co.za www.tb-ipcp.co.za Richard.vincent@mountsinai.org CDC Ghdonline WHO SAFHE CEASA

“Seize opportunity by the beard, for it is bald behind” - African Proverb South African Federation of Hospital Engineering Council for Scientific and Industrial Research