The	2018	FGI	Guidelines
                    Proposed	Revisions	to	Procedure,	Operating,
                        and	Imaging	Room	Requirements
                   Bryan	Langlands		AIA,	ACHA,	EDAC,	LEED	GA																																																															
           The views and opinions expressed in this 
         presentation are the opinion of the speakers and not 
         the official position of FGI or the Health Guidelines 
               Revision Committee.
                   PROPOSED	CHANGES	TO	SURGERY	SECTIONS
                                     procedure	room	         operating	room	
                    Clarification	of	                   and	                    requirements	intended	to	
                    support	space	for	equipment	and	staff	present	for	procedures	provided
                                  Section	2.1-3.2.2	(H)	and	3.8-3.1	(OP)      Procedure	Room
                                  Section	2.1-3.2.3	(H)	and	3.7-3.4	(OP)      Operating	Room
                                  Section	2.2-3.3.4	(H)                       Hybrid	Operating	Room
                                                        imaging	rooms	
                    New	classification	structure	for	                    based	on	procedures	performed	and	
                    environmental	controls	needed	to	allow	flexibility	in	imaging	room	requirements	as	
                    procedures	and	equipment	change	over	time
                                  Section	2.2-3.4.1.2	(H)	and	2.1-3.5.2	(OP)	 Imaging	Rooms
                                  Table	2.2-2	(H)
                      2018	FGI	PROCEDURES
                        An	understanding	of	the	following	is	required	to	inform	the	planning	of	diagnostic,	surgical,	and	
                        interventional	spaces.		
                                                                       •   Level	of invasiveness,	likelihood	of	infection
                                                                       •   Type	of	sedation	used	to	conduct	procedure
                                        Level of                       •   Number	of	staff	expected	in	the	room	during	procedure
                                      Invasiveness                     •   Equipment needed	to	support	procedure
                                      Infrastructure                 Which,	in	turn,	determine	the	design	requirements:
                                      Requirements
                           Equip & Staff            Type of              •  Room	classification
                             required              Sedation                        Procedure	room	(formerly	Class	A)	
                                                                                   Operating	room	(formerly	Class	B	&	C)
                                                                                   Type	of	Imaging	room	(new	Class	1,	2,	and	3)
                                                                         •  Room	size
                                                                         •  Room	finishes
                                                                         •  Room	Infrastructure	(MEP systems)