Advanced Mobile Hospital Systems has designed our Medical Units to be deployed in several different ways. The range of supporting services can vary from an emergency deployment in a parking lot as an independent facility with no connections needed to a fully integrated connection to an existing health care facility with all supporting services.
The design of the Mobile Surgical Facility has been based on over thirty years of experience in meeting the regulatory requirements for both freestanding Ambulatory Surgery Centers and Hospital based surgical departments.
These mobile facilities have the dual use capability that provides for their use as either self contained Ambulatory Surgery Center’s or as adjunct facilities that can be attached to an existing health care facility. These are very safe and regulatory compliant units that provide an approved protected environment with the latest equipment to meet and exceed the Standard of Care.
There are many unique advantages in using these advanced mobile facilities. These facilities have been used in many hospitals to provide replacement Operating Rooms during renovation and expansion projects.
They can be very quickly deployed both for routine surgical services and as an emergency health care facility in the event of a disaster. The facilities can be relocated in hours and provide the same high quality working environment for the medical staff in virtually any location.
These facilities can also interconnect to create a complete health care facility that provides a hospital environment with all of the supporting services in the Mobile Field Hospital.
All of the interlocking mobile units can be operated independently when located alone and are self contained or they can be linked and serviced by a robust utility and telemedicine infrastructure.
These units are interchangeable as to their location and can be placed in many different configurations and even reconfigured for changing needs. The units are connected by a corridor and airlock system that allows movement from any point in the field hospital to another without going outside.
All of the units are very reliable and safe because of the use of advanced design backup systems and the use of multiple redundancies for critical systems.
Each unit has miles of wires and cables to provide for total interconnectivity of voice, data, (such as electronic medical records capability) and video, (including diagnostic grade bandwidth) for seamless interfacing. Each unit has its own network and server and can also connect to the larger network of the entire field hospital and beyond.
The regulatory compliance standards used to design and manufacture these units is the same as is used for either Ambulatory Surgical Centers or Hospital based Surgical Units. These units have a history of compliance and successful use at Hospitals in the United States. The units meet the standards for Licensure and Certification and do qualify for reimbursement by insurance coverage and by other government programs.
Basic Dimensions and Clearances:
The Mobile Surgical Facility when configured in the transport mode is the maximum size allowed for a tractor trailer combination without special permits. The trailer is fifty-three feet (53’) long plus the air handling unit on the front, eight feet six inches (8'6") wide and thirteen feet six inches (13’6”) tall. These dimensions are needed to insure that the Unit can clear any obstacles to maneuver to the site. If a standard tractor trailer can negotiate the site, then the Mobile Surgical Facility can as well.
The dimensions of the fully expanded MSF increase on each side by seven feet (7’) to twenty-two feet and six inches (22’6”).
When deployed at a hospital the physical site work depends upon the size, changes in grade or elevation, access, soil compaction, drainage, distance from the primary facility and possible obstructions that need to be removed.
The best situation might be the use of a former Imaging trailer site; however the Surgery Unit opens up much larger than a typical imaging unit so you will need approximately 40 feet of side-to-side clearance. The overall length of the site needs to be approximately 70 feet for adequate circulation around the Unit.
There will be approximately a 40 inch difference in the elevation of the entrance door from the normal ground level. To maintain the handicap standard of 1 inch of rise per foot, the corridor or ramp will need to be at least 40 feet long. The Units are supported by four very large hydraulic levelers and the foundation is only needed at these locations, however for maintenance and appearance, it may be preferred to pour a pad. These units have been deployed without site work and have pads to distribute the weight, however for a long-term deployment a foundation is a prudent choice.
If the facility is being deployed for an extended term and in order to provide protection for the patient and in keeping with the usual standard of care, we recommend an all-weather corridor from the existing facility to the Surgery Unit. The composition of the corridor can vary from a prefabricated system that we can provide that resembles a normal hospital corridor and can be dismantled at the end of a deployment to a full hospital wing addition such as the one pictured below. Another option is that we can assist the hospital in designing their own variation of a corridor.
These two Units were deployed on a prepared site and then a very elaborate supporting and connecting corridor was constructed. This installation was planned and built as a permanent addition and is much more complex than a normal deployment. These pictures are examples of the range of site improvements from a parking lot to a fully supported connection.
This is an example of a site plan where there is very little space.
The typical site preparation will include three main cost components, utility connections, site improvements, and the connecting corridor.
The utility connections may already be present if an existing location has been used for an imaging trailer in the past. The utility requirements include the following:
An electrical supply of 208 volt 3 phase 200 amp service is needed. The electrical service should either be backed up by an emergency system within the hospital or it can be backed up by an emergency generator connected to the mobile units transfer switch. Our Facilities have a hospital grade transfer switch and two independent connections.
The Facility can be connected in several ways. The normal connection is primary power and backup power on the second connection utilizing our internal transfer switch to control the change over. We can also use power from a host facility that is already protected by backup power and therefore we do not need to use our transfer switch. We can also operate on two generators if deployed without any supporting services.
Here is a picture of the two five lead power connections.
An approved potable water supply can be provided by a flexible hose connection and should be protected from freezing where needed. The mobile unit does have internal water tanks but for convenience and capacity a connection is preferred.
A sanitary sewer connection makes it much easier to service the unit in a fixed location. The mobile units do have holding tanks for use during emergency deployments.
The Medical Gas System can be connected to the hospital supply if desired. This is an operational and financial decision. The Mobile Units have on board storage of large “H” cylinders that can be replaced. The choice of connecting to an extension from the hospital depends on the length of the deployment and the distance from the medical gas supply.
The telephone, data, nurses call, code blue, alarms, and video connection all are made at the street side rear compartment and provide for communication with the Mobile Unit.
The cost of preparing the site for the use of the Surgery Unit has many variations and factors. It really depends on what the hospital wants in the areas of supporting services and physical connections. The above description of the Scope of Work can be used as a planning tool for estimating costs or to inform and describe the project to bidding contractors.
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