MIL-HDBK-1191
for mobility, flexibility, interchangeability, and ease of cleaning and
maintenance for all specified equipment.
16.5.2
Automatic conveyors, belt lifts, and similar devices are
unacceptable for delivering patients' meals to the nursing units. Unless
special design instructions, approved by DMFO, are issued to the contrary,
use a manual, mobile patient tray cart system.
16.5.3
When the kitchen is served by a central steam distribution
system, the vegetable steamer-cooker and all other equipment that allows food
to be brought into direct contact with live steam is to be served by an
independent steam generator. Boiler water treatment renders steam from a
central steam plant unsuitable for direct contact with food.
16.5.4
Provide cart wash areas with a combination steam-water mixing
unit and a 3 meter (10 foot) hose for washing carts. Provide the area with a
floor drain and a separate exhaust fan for evacuating steam heat and vapors.
16.5.5
Specify a conveyor-type dishwasher with sizing dependent on
anticipated workload.
Provide a booster water heater capable of providing
60 degree C (140 degree F) wash and 82 degrees C (180 degree F) rinse cycle.
16.5.6
Provide the pots and pans wash sink assembly with a spray hose
assembly located near the garbage disposal. When specified in the design
guidance, automatic pot washers may be used at large facilities and include
booster water heater capable of providing 60 degrees C (140 degree F) wash
and 82 degrees C (180 degrees F) rinse cycle.
16.6
Dental. Various models of dental radiographic units require
different structural wall supports. When two or more units are installed in
the same room, use a single control unit when feasible.
16.7
High Technology Equipment. The planning for and inclusion of new
or unique medical technology such as linear accelerators, Positron Emission
Technology (PET), lithotripsy, Magnetic Resonance Imaging (MRI), hyperbaric
chambers, etc., in a MILCON project is the responsibility of the DoD Defense
Health Council (DHC). Project specific guidance on equipment of this
category will be issued to the Design Agents by DMFO. Design shall be in
accordance with the recommendations and guidance of the respective
manufacturers.
16.8
Magnetic Resonance Imaging Facilities (MRI). The planning,
design, and installation of a Magnetic Resonance Imaging (MRI) system in a
Medical Treatment Facility requires extreme care to assure that the magnet is
sufficiently isolated from ferromagnetic and radio frequency influences of
the impacted environment and that the surrounding environment is isolated
from the effects of the magnetic field. Therefore, the selection of the
proper siting of the magnet is extremely important and shall be addressed in
the earliest stages of the planning and design of the MRI system. Follow the
specific guidance of the manufacturer of the selected equipment.
16.9
Hyperbaric Chambers. Hyperbaric oxygen therapy is used as an
adjunct to the clinical and surgical treatment of certain diseases. It
consists of administering oxygen to the patient at pressures greater than one
atmosphere in a compressed air chamber. The DOD agency responsible for
design requirements and certification is the Naval Facilities Engineering
16-3
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