haad b radiation oncology unit

Part B - Version 3.1, June 2011

www.haad.ae Page 260

33.0 Radiation Oncology Unit

33.1 Introduction

33.1.1 Description The purpose of the Radiation Oncology Unit is to provide facilities and equipment for treatment of patients using radioactive rays. The Radiation Oncology Unit may contain one or both electron beam therapy and radiation therapy. Although not recommended, a Simulation Room may be omitted in small linear accelerator facilities where other positioning geometry is provided. Room sizes and specifications for a Radiation Oncology Unit should accommodate the equipment manufacturer's recommendations, as space requirements may vary from one machine to another and one manufacturer to another. Radiation Oncology may also be referred to as Radiotherapy or Radiation Therapy.

33.2 Planning

33.2.1 Functional Areas The Radiation Oncology Unit may include the following Functional Areas: Reception, Waiting, administrative and records areas Patient treatment areas including Radiotherapy Bunkers, Treatment Planning, Simulation,

Holding area, Patient Toilet Film processing and storage areas Support areas including Consult, Utilities, Cleaner's Room, Store, Disposal rooms Staff areas including Staff Station, Offices, Staff Change and Toilets.

SUPPORT AREAS The following optional support areas may be required: Quality control area with illuminated X-ray viewing boxes Computer control area normally located adjacent to the Radiotherapy Room entry Dosimetry equipment area Hypothermia Room (may be combined with an Examination Room) Oncologists Office (may be combined with Consultation Room) Physicists Office (may be combined with Treatment Planning) Treatment Planning and Record Room

Provision shall be made for the following additional support areas for Linear Accelerator: Mould Room with exhaust hood and hand basin Block Room with storage (may be combined with the Mould Room)

33.2.2 Functional Relationships

The Radiation Oncology Unit should be located with ready access for ambulant patients and beds/trolleys. The Unit may be co-located with Medical Imaging Units. If intra-operative therapy is proposed, the Radiation Oncology Unit should be located close to the Operating Unit or with a direct link. A ground level location is preferred due to the weight of the equipment and shielding requirements, and for ease of installation and replacement. There will also be a restriction on the type of departments located above the Radiation Oncology bunkers.

33.3 Design



33.3.1 Building Service Requirements CONSTRUCTION STANDARDS The flooring for a Radiation Oncology Unit shall be adequate to meet the load requirements for equipment, patient, and personnel. Provision for cable ducts or conduits should be made in the floors and ceilings as required. Ceiling mounted equipment should have properly designed rigid support structures located above the finished ceiling. The minimum recommended ceiling height is 3 metres. A lay-in type of ceiling should be considered for ease of installation, service, and remodelling. Depending on the machine type, a large opening within the wall and close coordination on the entry door size will be required for installation of the bunker equipment and future servicing.

RADIATION PROTECTION Cobalt and linear accelerator rooms require radiation protection that may include concrete walls, floors and ceiling to a specified thickness. The radiation protection needs of the unit shall be assessed by a certified physicist or appropriate state agency. This assessment is to specify the type, location, and amount of protection to be installed in accordance with final approved department layout and equipment selection. The radiation protection requirements shall be incorporated into the final plans and specifications. Design of the bunker rooms may incorporate a maze entry to assist with radiation protection; a neutron door may also be required depending on the type of linear accelerator used.

33.4 Components of the Unit

33.4.1 Introduction The Radiation Oncology Unit will contain Standard Components according to the Level of Service. Provide Standard Components to comply with details in the Standard Components described in these Guidelines. Refer also to Standard Components Room Data Sheets and Room Layout Sheets.



33.5 Schedule of Accommodation

33.5.1 Radiation Oncology Unit Generic Schedule of Accommodation

Schedule of Accommodation for a Radiation Oncology Unit for 2 & 4 Bunkers

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 AIRLOCK ENTRY, 10M2 AIRLE-10-U 1 x 10 1 x 10 For stand alone units or direct entry BAY BEVERAGE, OPEN PLAN BBEV-OP-U 1 x 4 1 x 4 WAITING WAIT-15-U 2 x 15 2 x 25 Separate Male/female areas WAIT-25-U BAY - WHEELCHAIR BWC-U 1 x 4 1 x 6 1 trolley; 2-5 wheelchairs similar TOILET PUBLIC, 4M2 WCPU-4-U 2 x 4 2 x 4 Separate for Male/female TOILET ACCESSIBLE WCAC-U 1 x 6 1 x 6 BAY PUBLIC TELEPHONE BPH-U 1 x 4 1 x 4 optional optional BAY VENDING MACHINES BVM-5-U 1 x 5 1 x 5 optional optional RECEPTION/ CLERICAL, 10M2 RECL-10-U 1 x 10 1 x 10 2 staff OFFICE 3 PERSON SHARED OFF-3P-U 1 x 15 1 x 15 3 staff STORE FILES STFS-10-U 1 x 10 1 x 15 STORE PHOTOCOPY/STATIONERY, STPS-8-U 1 x 8 1 x 8 8M2 MEETING ROOM SMALL, 12M2 MEET-12-U 1 x 12 1 x 12 Resource & education function INTERVIEW ROOM FAMILY/ LARGE INTF-U 1 x 12 1 x 12 VOLUNTEERS WORKROOM VWR-20-U 1 x 20 1 x 20 optional optional

PLANNING ZONE

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 WAITING , 10M2 WAIT-10-U 2 x 10 2 x 10 1 wheelchair space; separate areas for Male/female PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 4 x 10 Separate for Male/female TOILET - ACCESSIBLE WCAC-U 2 x 6 2 x 6 Separate for Male/female patients CHANGE CUBICLE - ACCESSIBLE CHPT-D-U 2 x 4 2 x 4 Separate for Male/female; includes lockers RADIOTHERAPY SIMULATOR ROOM RAD-SIM-U 1 x 40 1 x 40 May be sized to suit equipment CONTROL ROOM RAD- BCTR-U 1 x 17 2 x 17 (SIMULATOR ROOM) DARK ROOM DARK-U 1 x 6 1 x 6 optional optional XRAY VIEWING AND REPORTING XRRR-U 1 x 12 1 x 12 PACS may be used (VIRTUAL SIMULATION) BAY RESUSCITATION TROLLEY BRES-U 1 x 1.5 1 x 1.5



PLANNING STAFF AREAS ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12 Qty per staffing establishment (MANAGER, RADIATION THERAPY) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 2 x 9 Qty per staffing establishment EDUCATOR, RADIATION THERAPY) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Qty per staffing establishment (HEAD OF PLANNING, R.T.) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Qty per staffing establishment (HEAD OF TREATMENT, R.T.) OFFICE WRITE-UP (SHARED), 12M2 OFF-WIS-U 1 x 12 1 x 12 Qty per staffing establishment (SIGN ON/WORK AREA, R.T.) OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 Qty per staffing establishment (BOOKING CLERK) STORE - EQUIPMENT STEQ-10-U 1 x 10 1 x 12 STEQ-12-U TOILET STAFF WCST-U 2 x 3 2 x 3 Separate Male/female areas RADIOTHERAPY TREATMENT RAD-TRP-U 1 x 40 1 x 60 Area & no. of workstations as PLANNING similar per staffing establishment

APPLIANCE AREA ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 MOULD ROOM FITTING MLD-FT-U 1 x 10 1 x 10 MOULD ROOM WORKSHOP MLD-WS-U 1 x 20 1 x 20 May be noisy CLEAN-UP ROOM, 10M2 CLUP-10-U 1 x 10 1 x 10 STORE GENERAL, 9M2 STGN-9-U 1 x 9 1 x 9

MEDICAL PHYSICS ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12 (CHIEF PHYSICIST) OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5 Qty per staffing establishment (PHYSICIST) PHYSICS LABORATORY PHLAB-U 1 x 24 1 x 40 STORE EQUIPMENT STEQ-10-U 1 x 10 1 x 20 (PHYSICS) STEQ-20-U WORKSHOP - BIOMEDICAL WS-BM-U 1 x 40 1 x 50 similar OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5 Qty per staffing establishment (BIOMEDICAL)

RADIATION TREATMENT ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 WAITING, 10M2 WAIT-10-U 2 x 10 2 x 10 Separate Male/female areas CHANGE CUBICLES PATIENT CHPT-U 2 x 2 4 x 2 Separate Male/female areas CHANGE CUBICLE ACCESSIBLE CHPT-D-U 2 x 4 2 x 4 Separate Male/female areas



ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 TOILET - PATIENT WCPT-U 2 x 4 4 x 4 Separate Male/female areas MEETING ROOM, SMALL, 9M2 MEET-9-U 1 x 9 2 x 9 For interviews; can be used for private waiting WAITING SUB WAIT-SUB-U 2 x 2 4 x 2 Separate Male/female areas (BUNKER) similar RADIOTHERAPY BUNKER ROOM RAD-BUNK-U 2 x 150 4 x 150 See note 1 below (LINEAR ACCELERATOR) RADIOTHERAPY BUNKER CONTROL RAD- BCTR-U 2 x 17 4 x 17 ROOM OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 Deputy chief in large centres (RADIOTHERAPY) OFFICE WORKSTATION OFF-WS-U 2 x 5.5 4 x 5.5 (SENIOR RADIOTHERAPISTS) BAY WHEELCHAIR PARK, 4M2 BWC-U 1 x 4 2 x 4 BAY - LINEN TROLLEY BLIN-U 1 x 2 1 x 2 STORE EQUIPMENT STEQ-10-U 1 x 10 1 x 14 STEQ-14-U

NOTE 1: 150m2 spatial allocation for one Linear Accelerator bunker includes maze and radiation shielding wall, bunker size depends on equipment selected and radiation shielding recommendation from radiation safety consultant.

BRACHYTHERAPY SUITE

ROOM/ SPACE Standard 4 Bunkers Remarks Component Qty x m2 BRACHYTHERAPY BUNKER RAD-BUNK-U 1 x 150 Assumes permanent seed implantation RADIOTHERAPY BUNKER RAD- BCTR-U 1 x 17 CONTROL ROOM SCRUB-UP/ GOWNING, 6M2 SCRB-6-U 1 x 6 ANAESTHETIC INDUCTION ROOM ANIN-U 1 x 15 optional PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 Separate Male/female areas; for patient recovery HOT LABORATORY HTLB-U 1 x 9 SEED STORE & LOADING similar

PATIENT OBSERVATION & NURSING CARE

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 STAFF STATION SSTN-12-U 1 x 12 1 x 18 SSTN-18-U MEETING ROOM SMALL, 12M2 MEET-12-U 1 x 12 1 x 12 PATIENT BAY HOLDING, 10M2 PBTR-H-10-U 2 x 10 4 x 10 Separate for Male/ female BAY HANDWASHING, TYPE B BHWS-B-U 1 x 1 1 x 1 BAY PPE (PERSONAL PROTECTIVE BPPE-U 1 x 1.5 1 x 1.5 EQUIPMENT) SHOWER - PATIENT SHPT-U 2 x 4 4 x 4 Separate Male/female areas



ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 BAY LINEN BLIN-U 1 x 2 1 x 2 BAY - RESUSCITATION TROLLEY BRES-U 1 x 1.5 1 x 1.5 OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (NURSE MANAGER) CLEAN UTILITY CLUR-12-U 1 x 12 1 x 14 CLUR-14-U DIRTY UTILITY DTUR-12-U 1 x 12 1 x 14 DTUR-14-U DISPOSAL ROOM, 8M2 DISP-8-U 1 x 8 1 x 8 May be combined with Dirty Utility CLEANERS ROOM, 5M2 CLRM-5-U 1 x 5 1 x 5 CONSULT ROOMS CONS-U 4 x 14 8 x 14 Qty according to service plan PROCEDURE ROOM, 20M2 PROC-20-U 1 x 20 1 x 20 CLEAN-UP ROOM CLUP-10-U 1 x 10 1 x 15 Include endoscope cleaning CLUP-15-U OFFICE WRITE-UP (SHARED), 12M2 OFF-WIS-U 1 x 12 2 x 12 Clinical reviews SPECIMEN COLLECTION BAY, 9M2 SPECC-U 1 x 9 1 x 9 TOILET PATIENT WCPT-U 2 x 4 2 x 4 For specimen collection; separate male/female areas WAITING WAIT-10-U 2 x 10 2 x 25 Separate Male/female clinic WAIT-25-U Waiting

GENERAL STAFF AREAS

ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 OFFICE - WORKSTATION OFF-WS-U 3 x 5.5 6 x 5.5 (DATA MANAGERS) STORE FILES STFS-10-U 1 x 10 1 x 20 STFS-20-U OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (CLINICAL TRIALS MONITOR) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (BIOSTATISTICIAN) OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 1 x 5.5 (NURSE COORDINATOR) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (TEACHING FELLOW) optional optional OFFICE - SHARED OFF-2P-U 1 x 12 1 x 15 OFF-3P-U optional optional OFFICE SINGLE PERSON, 12M2 OFF-S12-U 1 x 12 1 x 12 (CLINICAL DIRECTOR) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (DEPUTY DIRECTOR) OFFICE RADIATION ONCOLOGIST OFF-S9-U 1 x 9 1 x 12 OFF-S12-U OFFICE - WORKSTATION OFF-WS-U 2 x 5.5 4 x 5.5 For administration staff OFFICE 2 PERSON SHARED OFF-2P-U 1 x 12 1 x 12 OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 (MEDICAL TYPISTS)



ROOM/ SPACE Standard 2 Bunkers 4 Bunkers Remarks Component Qty x m2 Qty x m2 OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (DATA MANAGERS) optional optional OFFICE SINGLE PERSON OFF-S9-U 1 x 9 1 x 9 (I.T MANAGER) optional optional OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 (MANAGER QUALITY ASSURANCE) OFFICE SHARED OFF-2P-U 1 x 12 1 x 12 (ALLIED HEALTH) MEETING ROOM MEDIUM/LARGE, MEET-L-20-U 1 x 20 2 x 20 20M2 STAFF ROOM SRM-15-U 2 x 15 2 x 20 Separate Male/female areas SRM-20-U PROPERTY BAY - STAFF PROP-3-U 2 x 3 2 x 6 Separate Male/female areas PROP-6-U TOILET STAFF WCST-U 2 x 3 4 x 3 Separate Male/female areas SHOWER STAFF SHST-U 2 x 3 2 x 3 Separate Male/female areas CLEANERS ROOM, 5M2 CLRM-5-U 1 x 5 1 x 5 OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 (CANCER CARE COORDINATOR) OFFICE SINGLE PERSON, 9M2 OFF-S9-U 1 x 9 1 x 9 OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 (SPECIALIST CANCER NURSES) OFFICE - WORKSTATION OFF-WS-U 1 x 5.5 2 x 5.5 (PALLIATIVE CARE) CIRCULATION ALLOWANCE 35% 35%

Please note the following:

Areas noted in Schedules of Accommodation take precedence over all other areas noted in the FPU. Rooms indicated in the schedule reflect the typical arrangement according to the Role Delineation. Exact requirements for room quantities and sizes will reflect Key Planning Units identified in the Service Plan and

the Operational Policies of the Unit. Room sizes indicated should be viewed as a minimum requirement; variations are acceptable to reflect the

needs of individual Unit. Office areas are to be provided according to the Unit role delineation and staffing establishment. Staff and support rooms may be shared between Functional Planning Units dependant on location and

accessibility to each unit and may provide scope to reduce duplication of facilities.



33.6 Functional Relationship Diagram 33.6.1 33.6.2 Radiation Oncology Unit Functional Relationship Diagram

33.7 Further Reading

Australasian Health Facility Guidelines, Australasian Health Infrastructure Alliance, refer to

website www.healthfacilityguidelines.co.au Guidelines for Design and Construction of Health Care Facilities; The Facility Guidelines

Institute

haad b radiation oncology unit

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