NES 106 Part 2 Requirements for Medical and Dental Organization in HM Surface Ships and Submarines

Ministry of Defence Defence Standard 02-106 (NES 106)

Issue 1 Publication Date 01 April 2000

Incorporating NES 106 Category 2

Issue 1 Publication Date July 1993

Requirements For Medical AndDental Organization In HM Surface

Ships And Submarines

Part 2Specific Requirements - Medical AndDental Facilities In HM Surface Ships

DStanDStan is now the publishing authority for all Maritime Standards (formerly NESs). Any reference to any other publishing authority throughout this standard should be ignored.Any queries regarding this or any other Defence Standard should be referred to the DStan Helpdesk as detailed at the back of this document.

AMENDMENT RECORD

Amd No Date Text Affected Signature and Date

REVISION NOTE

This standard is raised to Issue 1 to update its content.

HISTORICAL RECORD

This standard supersedes the following:

Naval Engineering Standard (NES) 106 Part 2 Issue 1 dated July 1993.

Ministry of Defence

Naval Engineering Standard

NES 106 Part 2 Issue 1 (Reformatted) July 1993

REQUIREMENTS FORMEDICAL AND DENTAL ORGANIZATION

IN HM SURFACE SHIPS AND SUBMARINES

PART 2

SPECIFIC REQUIREMENTSMEDICAL AND DENTAL FACILITIES

IN HM SURFACE SHIPS

This NES Supersedes

DGS 89DGS 90

Record of Amendments

AMDT INSERTED BY DATE

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2

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4

5

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NAVAL ENGINEERING STANDARD 106

REQUIREMENTS FORMEDICAL AND DENTAL ORGANIZATION

IN HM SURFACE SHIPS AND SUBMARINES

PART 2

ISSUE 1 (REFORMATTED)

SPECIFIC REQUIREMENTSMEDICAL AND DENTAL FACILITIES

IN HM SURFACE SHIPS

The issue and use of this Standard

is authorized for use in MOD contracts

by MOD(PE) Sea Systems and

the Naval Support Command

ECROWN COPYRIGHT

Published by:

Director of Naval ArchitectureProcurement Executive, Ministry of DefenceSea Systems, Foxhill, Bath BA1 5AB

NES 106Part 2

Issue 1 (Reformatted)

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SCOPE

1. This Part of theNES defines the Specific Requirements ofMedical and Dental Facilities inHMSurface Ships.

2. The Specific Requirements for Medical Organization in ActionHM Surface Ships arecovered by part 3 of this NES.

NES 106Part 2Issue 1 (Reformatted)

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NES 106Part 2


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FOREWORD

Sponsorship

1. ThisNaval Engineering Standard (NES) is sponsored by theProcurement Executive, Ministryof Defence, Director Naval Architecture (DNA), Section NA 145.

2. This NES comprises:

Part 1 Common RequirementsMedical and Dental Facilities

Part 2 Specific RequirementsMedical and Dental Facilities in HM Surface Ships

Part 3 Specific RequirementsMedical Organization for Action in HM Surface Ships

Part 4 Specific RequirementsMedical and Dental Facilities in HM Submarines

The Specific Requirements are to be read in conjunction with the Common RequirementsPart 1.

3. If it is found to be technically unsuitable for any particular requirement the Sponsor is to beinformed in writing of the circumstances with a copy to DNA NA 145.

4. Any user of this NES either within MOD or in industry may propose an amendment to it.Proposals for amendments that are

a. not directly applicable to a particular contract are to be made to the Sponsor of the NES

b. directly applicable to a particular contract are to be dealt with using existing proceduresor as specified in the contract.

5. No alteration is to be made to this NES except by the issue of an authorized amendment.

6. Unless otherwise stated, reference in this NES to approval, approved, authorized or similarterms, means by the Ministry of Defence in writing.

7. Any significant amendments that may be made to this NES at a later date will be indicatedby a vertical side line. Deletions will be indicated by 000 appearing at the end of the lineintervals.

8. This NES has been reissued to reflect changes in technical requirements and supersedesDGS 89 and 90.

Conditions of Release

General

9. This Naval Engineering Standard (NES) has been prepared for the use of the Crown and ofits contractors in the execution of contracts for the Crown. The Crown hereby excludes allliability (other than liability for death or personal injury) whatsoever and howsoever arising(including but without limitation, negligence on the part of the Crown, its servants or agents)for any loss or damage however caused where the NES is used for any other purpose.

10. This document is Crown Copyright and the information herein may be subject to Crown orthird party rights. It is not to be released, reproduced or published without written permissionof the MOD.


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11. The Crown reserves the right to amend or modify the contents of this NES without consultingor informing any holder.

MOD Tender or Contract Process

12. ThisNES is the property of the Crown and unless otherwise authorized in writing by theMODmust be returned on completion of the contract, or submission of the tender, in connectionwith which it is issued.

13. When this NES is used in connection with aMOD tender or contract, the user is to ensure thathe is in possession of the appropriate version of each document, including related documents,relevant to each particular tender or contract. Enquiries in this connection may be made ofthe local MOD(PE) Quality Assurance Representative or the Authority named in the tenderor contract.

14. When NES are incorporated into MOD contracts, users are responsible for their correctapplication and for complying with contracts and any other statutory requirements.Compliance with an NES does not of itself confer immunity from legal obligations.

Related Documents

15. In the tender and procurement processes the related documents listed in each section andAnnex A can be obtained as follows:

a. British Standards British Standards Institution,389 Chiswick High Road,London W4 4AL

b. Defence Standards Directorate of Standardization and Safety Policy,Stan 1, Kentigern House, 65 Brown Street,Glasgow G2 8EX

c. Naval Engineering Standards CSE3a, CSE Llangennech, Llanelli,Dyfed SA14 8YP

d. Other documents Tender or Contract Sponsor to advise.

Note: Tender or Contract Sponsor can advise in cases of difficulty.

16. All applications to Ministry Establishments for related documents are to quote the relevantMOD Invitation to Tender or Contract Number and date, together with the sponsoringDirectorate and the Tender or Contract Sponsor.

17. Prime Contractors are responsible for supplying their subcontractors with relevantdocumentation, including specifications, standards and drawings.

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Health and Safety

Warning

18. ThisNESmay call for the use of processes, substances and/or procedures thatmay be injuriousto health if adequate precautions are not taken. It refers only to technical suitability and inno way absolves either the supplier or the user from statutory obligations relating to healthand safety at any stage of manufacture or use. Where attention is drawn to hazards, thosequoted may not necessarily be exhaustive.


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NES 106Part 2


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CONTENTSPage No

TITLE PAGE i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCOPE iii. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FOREWORD v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sponsorship v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Conditions of Release v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

General v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MOD Tender or Contract Process vi. . . . . . . . . . . . . . . . . . . . . . . . . .

Related Documents vi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Health and Safety vii. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Warning vii. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CONTENTS ix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 1. LOBBY/WAITING AREA 1.1. . . . . . . . . . . . . . . . . . . . .1.1 Area 1.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.2 Hinged Benching 1.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.3 Access 1.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.4 Alarm and Call Systems 1.1. . . . . . . . . . . . . . . . . . . . . . .1.4.1 Crash-on-Deck Alarm 1.1. . . . . . . . . . . . . . . . . . . . . . . .1.4.2 Patient Call System 1.2. . . . . . . . . . . . . . . . . . . . . . . . . .1.4.3 Attendant Call System 1.2. . . . . . . . . . . . . . . . . . . . . . . .1.5 Switch Sockets 1.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 2. RECEPTION 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.1 Location 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.2 Layout 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.3 Equipment 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.4 Whereabouts DiagramMedical Organization

for Action 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.5 Chairs 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6 OASIS Equipment 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . .2.7 Switch Sockets 2.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 2.1 TYPICAL LAYOUT OF RECEPTIONFOR CLASS A SHIPS 2.2. . . . . . . . . . . . . . . . . . . . . . . .TABLE 2.1 RECEPTION EQUIPMENT 2.3. . . . . . . .

2.8 Communications 2.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 3. CONSULTING ROOM 3.1. . . . . . . . . . . . . . . . . . . . . . .3.1 Introduction 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.2 Layout 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.3 Equipment 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4 Patient Call System 3.1. . . . . . . . . . . . . . . . . . . . . . . . . .3.5 Examining Light 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.6 Chair 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.7 Switch Sockets 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.8 Communications 3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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FIGURE 3.1 TYPICAL LAYOUT OF CONSULTINGROOM 3.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TABLE 3.1 CONSULTING ROOM EQUIPMENT 3.3

SECTION 4. SURGERY 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.1 Introduction 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.2 Location 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.3 Layout 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.4 Equipment 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.5 Operating Table 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.6 Medicine and Dressing Stowage 4.1. . . . . . . . . . . . . . . .4.7 Controlled Drugs/Poisons Cupboards 4.1. . . . . . . . . . .

FIGURE 4.1 TYPICAL LAYOUT OF SURGERY 4.2TABLE 4.1 SURGERY EQUIPMENT 4.3. . . . . . . . . .

4.8 Surgeons Washbasin 4.4. . . . . . . . . . . . . . . . . . . . . . . . .4.9 Soiled Dressings Bin 4.4. . . . . . . . . . . . . . . . . . . . . . . . . .4.10 Surgeons Desk 4.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.11 Whereabouts Diagram 4.4. . . . . . . . . . . . . . . . . . . . . . . .4.12 Chairs 4.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.13 Refrigerator 4.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.14 Curtain 4.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.15 Dental Equipment 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . .4.16 Switch Sockets 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.17 Lighting 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.18 Operating Table Lights 4.5. . . . . . . . . . . . . . . . . . . . . . .4.19 Communications 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .4.20 Fire Precautions 4.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 5. TREATMENT ROOM/DISPENSARY 5.1. . . . . . . . . . .5.1 Introduction 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.2 Location 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.3 Layout 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.4 Equipment 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.5 Resuscitation TrolleyClass A Ships 5.1. . . . . . . . . . . .5.6 Controlled Drugs/Poisons Cupboard 5.1. . . . . . . . . . . .5.7 Worktops 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.8 Refrigerator 5.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5.9 Switchsockets 5.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 5.1 TYPICAL LAYOUT OFTREATMENT ROOM/DISPENSARY 5.3. . . . . . . . . . .TABLE 5.1 TREATMENT ROOM/DISPENSARYEQUIPMENT 5.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 6. OPERATING THEATRE 6.1. . . . . . . . . . . . . . . . . . . . .6.1 Location 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.2 Layout 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.3 Equipment 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.4 Door 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.5 Operating Table 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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6.6 Operating Table Light 6.1. . . . . . . . . . . . . . . . . . . . . . . .6.7 Fitted Units 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 6.1 TYPICAL LAYOUT OFOPERATING THEATRE 6.2. . . . . . . . . . . . . . . . . . . . .TABLE 6.1 TREATMENT ROOMDISPENSARY EQUIPMENT 6.3. . . . . . . . . . . . . . . . . .FIGURE 6.2 OPERATING TABLE LAMPFITTING 6.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6.8 Sink . 6.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.9 Scrub-up Sink 6.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.10 Chairs 6.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.11 Anaesthetic Apparatus 6.5. . . . . . . . . . . . . . . . . . . . . . . .6.12 X-Ray Viewing Box 6.5. . . . . . . . . . . . . . . . . . . . . . . . . . .6.13 Dressings Trolley 6.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.14 Soiled Dressings Bin 6.5. . . . . . . . . . . . . . . . . . . . . . . . . .6.15 Ready-use Medical Gas Bottle Stowage 6.5. . . . . . . . . .6.16 Switch Sockets 6.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6.17 Automatic Emergency Lantern (AEL) 6.6. . . . . . . . . . .

SECTION 7. DENTAL SURGERY 7.1. . . . . . . . . . . . . . . . . . . . . . . . .7.1 Location 7.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.2 Layout 7.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.3 Equipment 7.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.4 Dental Chair 7.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.5 Dental Unit 7.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 7.1 TYPICAL LAYOUT OF DENTALSURGERY 7.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TABLE 7.1 DENTAL SURGERY EQUIPMENT 7.3. .

7.6 X-Ray Unit 7.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.7 X-Ray Protection Apron Stowage 7.4. . . . . . . . . . . . . . .7.8 X-Ray in Progress Warning Light 7.4. . . . . . . . . . . . .7.9 Clinical Area Worktops and Units 7.4. . . . . . . . . . . . . .7.10 Clinical Area Washbasin 7.4. . . . . . . . . . . . . . . . . . . . . .7.11 Sterilizing/Clean Area Worktop and Units 7.4. . . . . . .7.12 Sterilizing/Clean Area Sink 7.4. . . . . . . . . . . . . . . . . . . .7.13 Fitted Unit Interiors 7.4. . . . . . . . . . . . . . . . . . . . . . . . . .7.14 Sterilizing Unit 7.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.15 Ultrasonic Unit 7.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.16 Clerical AreaSurgeons Desk 7.4. . . . . . . . . . . . . . . . .7.17 Surgeons Chair 7.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.18 Patient Call System 7.5. . . . . . . . . . . . . . . . . . . . . . . . . .7.19 Operating Stools 7.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.20 Switch Sockets 7.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7.21 Communications 7.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 8. DENTAL LABORATORY 8.1. . . . . . . . . . . . . . . . . . . . .8.1 Introduction 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.2 Location 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.3 Layout 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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8.4 Fitted Units 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.5 Workbench 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.6 Sink and Worktop 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . .8.7 Lathe Bench 8.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 8.1 TYPICAL LAYOUT OF DENTALLABORATORY 8.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . .TABLE 8.1 DENTAL SURGERY EQUIPMENT 8.3. .FIGURE 8.2 WASTE CHUTE IN SINKUNIT DENTAL LABORATORY 8.4. . . . . . . . . . . . . . .

8.8 Dental Vibrator 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.9 Dental Plaster Trimmer 8.5. . . . . . . . . . . . . . . . . . . . . . .8.10 X-Ray Film Processor 8.5. . . . . . . . . . . . . . . . . . . . . . . .8.11 Lathe 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.12 Warning Light 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.13 Dark Room Light 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . .8.14 Switch Sockets 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.15 Lighting 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.16 Communications 8.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 9. PATHOLOGICAL LABORATORY/DARKROOM 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9.1 Location 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.2 Layout 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.3 Equipment 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.4 Pathological Bench Unit 9.1. . . . . . . . . . . . . . . . . . . . . . .9.5 Sink and Cupboard Unit 9.1. . . . . . . . . . . . . . . . . . . . . .9.6 Developing Tank 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.7 Film Drying Rack 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . .9.8 Refrigerator 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.9 Deep Freezer Unit 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . .9.10 Warning Light 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.11 Dark Room Light 9.1. . . . . . . . . . . . . . . . . . . . . . . . . . . .9.12 Switch Sockets 9.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 9.1 TYPICAL LAYOUT OFPATHOLOGICALLABORATORY/DARK ROOM 9.3. . . . . . . . . . . . . . . .TABLE 9.1 PATHOLOGICALLABORATORY/DARK ROOM EQUIPMENT 9.4. . .

SECTION 10. WARDS 10.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.1 Ward Accommodation 10.1. . . . . . . . . . . . . . . . . . . . . . . .10.2 Location 10.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.3 Layout 10.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.3.1 Main Ward 10.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.3.2 Isolation Ward 10.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 10.1 TYPICAL LAYOUT OF CLASS AMAIN WARD 10.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FIGURE 10.2 TYPICAL LAYOUT OF CLASS BMAIN WARD 10.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FIGURE 10.3 TYPICAL LAYOUT OF CLASS CMAIN WARD 10.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NES 106Part 2


xiii

FIGURE 10.4 TYPICAL LAYOUT OF CLASS AISOLATION WARD 10.5. . . . . . . . . . . . . . . . . . . . . . . . . .

10.4 Equipment 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.5 Twotier Medical Berth 10.6. . . . . . . . . . . . . . . . . . . . . . .10.6 Amenity Panel 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.7 Attendant Call System 10.6. . . . . . . . . . . . . . . . . . . . . . . .10.8 Reading Lights 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.9 Siting of Berths 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.10 Spacing of Berths 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . .10.11 Mattresses 10.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.12 Ladders 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.13 Food Trays 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.14 Patients Kit Stowage 10.7. . . . . . . . . . . . . . . . . . . . . . . . .10.15 Towel Rail 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.16 Curtains and Rails 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . .10.17 Surgeons Washbasin 10.7. . . . . . . . . . . . . . . . . . . . . . . . .10.18 Wash-up Cabinet 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . . .10.19 Switch Sockets 10.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10.20 Communications 10.8. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TABLE 10.1 WARD EQUIPMENT 10.9. . . . . . . . . . . . .

SECTION 11. WARD PANTRY 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.1 Introduction 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.2 Location 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.3 Layout 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.4 Equipment 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.5 Sink Unit 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.6 Worktops 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.7 Cupboards and Drawer Units 11.1. . . . . . . . . . . . . . . . . .11.8 Shelves 11.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 11.1 TYPICAL LAYOUT OF WARDPANTRY 11.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TABLE 11.1 EQUIPMENT REQUIREMENTFOR WARD PANTRY 11.3. . . . . . . . . . . . . . . . . . . . . . . .

11.9 Tea Urn 11.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11.10 Electrical Requirements 11.3. . . . . . . . . . . . . . . . . . . . . . .

SECTION 12. STERILIZING ROOM 12.1. . . . . . . . . . . . . . . . . . . . . . .12.1 Introduction 12.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.2 Layout 12.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.3 Equipment 12.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.4 Deck Drains 12.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FIGURE 12.1 TYPICAL LAYOUT OFSTERILIZING ROOM 12.1. . . . . . . . . . . . . . . . . . . . . . .TABLE 12.1 STERILIZING ROOMEQUIPMENT 12.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12.5 Fitted Units 12.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.6 Emergency Water Tank 12.2. . . . . . . . . . . . . . . . . . . . . . .12.7 Instrument Sterilizer 12.2. . . . . . . . . . . . . . . . . . . . . . . . .


xiv

12.8 Porous Load Sterilizer 12.2. . . . . . . . . . . . . . . . . . . . . . . .12.9 Microwave Oven (Class B only) 12.2. . . . . . . . . . . . . . . .

SECTION 13. TOILET AND WASH FACILITIES 13.1. . . . . . . . . . . . .13.1 Location 13.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13.2 Facilities 13.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TABLE 13.2 TOILET AND WASH FACILITIESAND MAJOR CONSTITUENTS OFCOMPARTMENTS 13.1. . . . . . . . . . . . . . . . . . . . . . . . . .

13.3 Layout 13.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FIGURE 13.1 TYPICAL LAYOUT OFBATHROOM 13.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FIGURE 13.2 TYPICAL LAYOUT OFSHOWER-ROOM 13.3. . . . . . . . . . . . . . . . . . . . . . . . . . .FIGURE 13.3 TYPICAL LAYOUT OF WC 13.3. . . . .TABLE 13.1 TOILET AND WASHFACILITIES EQUIPMENT 13.4. . . . . . . . . . . . . . . . . . .

13.4 Equipment 13.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13.5 Attendant Call System 13.5. . . . . . . . . . . . . . . . . . . . . . . .13.6 Washbasin 13.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13.7 Electrical Requirements 13.5. . . . . . . . . . . . . . . . . . . . . . .

ANNEX A RELATED DOCUMENTS A.1. . . . . . . . . . . . . . . . . . . .

ANNEX B DEFINITIONS AND ABBREVIATIONS B.1. . . . . . . .

NES 106Part 2


1.1

1. LOBBY/WAITING AREA

a. A Lobby is to be provided in ClassA andB Ships and is to include aWaitingAreafor out-patients including dental patients, where Dental Compartments areincorporated into the Medical Complex.

b. The Lobby/Waiting Area is to be used as a Casualty Sorting Area during a masscasualty situation.

1.1 Area

a. The area is to be kept to aminimum. Space is to be provided for hinged benchingfor waiting out-patients, ten patients in Class A and five in Class B ships andspace for four stretchers in both classes, each having 750mm clear space aroundthem.

b. When Medical and Dental Waiting Areas are combined an additional benchingis to be provided for four dental patients.

c. When the hinged benching is occupied the occupants are not to impede the flowof personnel through the area.

1.2 Hinged Benching

a. Additional hinged benching is to be provided against free bulkheads as spaceallows.

b. Benching is to be 300mm wide and individual lengths not exceeding 2000mm,mounted 450mm above the deck covering.

c. Bolts are to be provided to secure the benching in its stowed position against thebulkhead.

d. In Class C ships, benching, sufficient for two patients, is to be provided on thebulkhead immediately outside the Main Entrance.

1.3 Access

a. In addition to the normal double door Main Entrance, the Lobby/Waiting Areais to have direct access onto the Aircraft lift, where one is fitted, by way of aquick acting watertight (QAWT) door.

b. The area immediately inside the QAWT door is to be provided with darken shipprecautions enclosing an area of 2500 mm x 2000 mm illuminated by low levelred lighting.

1.4 Alarm and Call Systems

1.4.1 Crash-on-Deck Alarm

a. A Crash-on-Deck alarm is to be provided in Class A and B Ships to alert MedicalStaff to an emergency on the Flight Deck.

b. The alarm is to be a red flashing indicator light mounted in the Lobby/WaitingArea in a readily visible position and an audible alarm with a cancellationbutton in close proximity to the indication light.


1.2

c. A second Crash-on-Deck alarm is to be provided in the Medical Officers cabinwhere one is allocated.

1.4.2 Patient Call System

a. A Patient Call System is to be provided in Class A and B ships to indicate whentheMedical/Dental Officer in a Consulting Room/Dental Surgery is ready to seethe next patient.

b. An indicator light and low tone buzzer are to be provided and sited above theConsulting Room/Dental Surgery Door.

c. In Class C Ships an illuminated ENTER/DO NOT ENTER indicator is to bemounted outside and above the Surgery main entrance door.

1.4.3 Attendant Call System

a. An Attendant Call System is to be provided in all Classes of Ship to summonassistance to patients in Wards and Toilet/Wash Facilities.

b. An indicator light and low tone buzzer are to be provided and mounted outsidethe Ward and Toilet/Wash facility above the doors.

c. The Attendant Call low tone buzzer is to have a tone distinct from all otheralarms.

1.5 Switch Sockets

a. Two 5A 115V 60Hz single phase and two 5A 240V 60Hz single phase switchsockets are to be fitted.

b. The 115V and 240V switch sockets and plugs are to be incompatible.

NES 106Part 2


2.1

2. RECEPTION

a. A Reception Compartment is to be provided in Class A and B shipsaccommodating three and two occupants respectively.

b. The Reception Compartment is to cater for both medical and dental patients.

2.1 Location

a. The compartment is to be sited adjacent to the Main Entrance and able to beentered from the Lobby/Waiting Area.

b. In larger Class A Ships aDental Clinic comprising aDental Surgery, Laboratoryand Reception may be separate from the Medical Complex; in this case theDental Reception within the Clinic is to be as advised by MDG(N).

2.2 Layout

a. A typical layout for a Class A Ship Medical Reception is shown in FIGURE 2.1.

b. The Medical Reception layout for a Class B Ship is similar to that for a Class Abut reduced in area consistent with a smaller number of occupants andequipment.

2.3 Equipment

a. The equipment for fitting out the Compartment is given in TABLE 2.1.

b. MDG(N) is to advise as to equipment content when a Dental Clinic is specifiedin larger Class A ships.

2.4 Whereabouts DiagramMedical Organization for Action

a. A Whereabouts Diagram is to be provided with a white margin 300mm widedown one side. The diagram and white margin are to be covered with a clearacrylic sheet.

b. A pen trough is to be provided at the bottom of the diagram.

c. The complete diagram is to be bulkhead-mounted in an easily accessibleposition.

2.5 Chairs

a. Swivel office chairs at each desk position are to be secured to the deck using aslide type keep-batten centred at the desk knee hole.

2.6 OASIS Equipment

a. An OASIS Keyboard visual display unit (VDU) and printer are to be providedand suitably sited adjacent to the hatch.

2.7 Switch Sockets

a. 240V and 115V switch sockets and plugs are to be incompatible.


2.2

FIGURE 2.1 TYPICAL LAYOUT OF RECEPTION FOR CLASS A SHIPS

Item numbers, equipment, ship class and quantities are shown in TABLE 2.1

NES 106Part 2


2.3

ITEM EQUIPMENTCLASS QTYITEM

No EQUIPMENT A B

1 Four Drawer Medical Document Cabinet 4 2

2 Desk Pedestal UnitTwo Drawer 3 2

3 Desk Pedestal UnitCupboard 3 2

4 Desk TopDouble Length 1

Desk TopSingle Length 1 2

5 Bookcase 2 2

6 Shelf With Keep Battens & A4 Paper Trays 1 1

7 Whereabouts Diagram 1 1

8 Notice Board 2 1

9 Hatch 1 1

10 ChairOffice Swivel 3 2

11 Key Box 1 1

12 Clock 1 1

13 Cupboard/Shelf With Keep Battens 2 1

14 OASIS Equipment A/R A/R

15 Cap and Coat Hooks 4 3

16 Cupboard With Dividers 1 1

17 Curtain and Rail Across Sliding Doors 1 1

Switch Socket 240 V 2 2

Switch Socket 115 V 1 1

Desk Light 3 2

Telephone 2 1

Emergency Telephone 1 1

Intercom 1 1

TABLE 2.1 RECEPTION EQUIPMENT

b. One 5A 240V 60Hz single phase switch socket is to be provided.

c. Two 5A 115V 60Hz single phase switch sockets are to be provided.

2.8 Communications

a. Two telephones in Class A and one in Class B compartments are to be provided.

b. An intercom connected to the Dental Surgery and Laboratory is to be provided.

c. An emergency sound powered telephone is to be provided and connected to theDamage Control Headquarters.

d. The emergency telephone is to be bulkhead-mounted adjacent to theWhereabouts Diagram.


2.4

NES 106Part 2


3.1

3. CONSULTING ROOM

3.1 Introduction

a. Two Consulting Rooms are to be provided in Class A ships and one in Class Bships.

3.2 Layout

a. A typical layout is shown in FIGURE 3.1.

3.3 Equipment

a. The equipment for the compartment is given in TABLE 3.1.

3.4 Patient Call System

a. A Patient Call button and cancellation switch are to be provided andbulkhead-mounted close to the desk.

3.5 Examining Light

a. An Examining Light is to be provided and bulkhead-mounted over theExamination Couch so that it is able to reach both top and bottom of the couch.

b. A stowage is to be provided to prevent movement when the light is not in use.

3.6 Chair

a. The swivel office chair is to be secured to the deck using a slide type keep battencentred at the desk knee hole.

3.7 Switch Sockets


b. One 5A 240V and two 115V 60Hz single phase switch sockets are to be provided.

3.8 Communications

a. A telephone linked to the ships main exchange is to be provided.


3.2

FIGURE 3.1 TYPICAL LAYOUT OF CONSULTING ROOM

Item numbers, equipment and quantities are shown in TABLE 3.1

NES 106Part 2


3.3

ITEMEQUIPMENT DESCRIPTION QTY

NOEQUIPMENT DESCRIPTION QTY

1 Door 1

2 Desk Top With Three & Four Drawer Pedestal Units 1

3 Desk Rack 1

4 Desk Light 1

5 Bookcase 1

6 Examination Couch 1

7 CabinetDiagnostic 1

8 Washbasin complete with 1

Splashback

Mirror

Light over Mirror

Soap Dispenser

Toilet Tray

9 Paper Towel Dispenser 1

10 Waste Bin 1

11 ChairOffice Swivel 1

12 ChairPatient 1

13 ShelvingFull Length 1

14 CupboardFull Length 1

15 Cap and Coat Hooks 3

16 Curtain and Rail A/R

Switch Socket 115V 2

Switch Socket 240V 2

Telephone 1

Patient Call System 1

Examining Light and Bracket 1

TABLE 3.1 CONSULTING ROOM EQUIPMENT


3.4

NES 106Part 2


4.1

4. SURGERY

4.1 Introduction

a. A Surgery is to be provided in Class C Ships to enable Medical and Dentalfunctions and associated clerical work to be undertaken.

4.2 Location

a. The Surgery is to form part of the Medical Complex of Class C Ships havingdirect access to the Ward and Toilet Facilities and access through the mainentrance to the passageway.

4.3 Layout

a. A typical layout of the main component of the compartment is shown inFIGURE 4.1.

b. The Operating Table when in the operating (rigged) position is to have a clearworking space around it of 760mm.

c. In planning the layout of the Surgery, space is to be provided to allow a stretcherto pass unobstructed through the main entrance and from the Ward to theOperating Table in the rigged position.

4.4 Equipment

a. Fitting and equipment for the compartment is given on TABLE 4.1.

4.5 Operating Table

a. An Operating Table supplied by MDG(N) is to be provided complete withcushions. The table is to be portable and to be located in two positions, namely,rigged for operating on or examination of the patient and stowed.

b. The table is to be secured in these positions by thumbscrews into tapped padswelded to the deck. See FIGURE 4.1.

4.6 Medicine and Dressing Stowage

a. Stowages for medicines and dressings are to be provided utilizing ModularFurniture items.

b. Stowages are to be located under stainless steel worktops.

4.7 Controlled Drugs/Poisons Cupboards

a. Controlled Drugs cupboards are to be provided and fitted as specified in Part 1of this NES.


4.2

FIGURE 4.1 TYPICAL LAYOUT OF SURGERY

Item numbers, description and quantities are shown in TABLE 4.1

NES 106Part 2


4.3

ITEMDESCRIPTION QTY

NoDESCRIPTION QTY

1 Double Doors 1

2 Door NWT 1

3 Portable Partition (Itemized 17 in Ward Section) 1

4 CupboardCleaning Gear on Plinth (P/1) 1

5 Medical Gas Bottles incl Brackets 2

6 Splash Guard 1

7 Surgeons Washbasin Complete 1

8 Desk Top inc Whereabouts Diagram 1

9 ChairPatients 1

10 Desk Pedestal 1

11 Key Cupboard 1

12 Bookcase 1

13 Desk Rack & A4 Paper Trays 1

14 ChairSurgeons 1

15 Desk PedestalFiling 1

16 Refrigerator 5 cu ft 1

17 OASIS Equipment A/R

18 Controlled Drugs/Poisons Cupboard 2

19 Equipment Cupboard 1

20 Work SurfaceStainless Steel Continuous 1

21 Modular Furniture Unit & Plinths (L/5/1 + P/1) 2

22 Modular Furniture Unit & Plinths (L/5/2 + P/1) 2

23 Controller Drugs/Poisons Cupboard 2

24 Operating Table 1

25 Fire Extinguisher 1

26 Dental PanelLP air 1

27 Clock 1


29 Notice Board 1

30 Automatic Emergency Light 1

31 Curtain and Rail 1

32 Soiled Dressings Bin 1

33 Transfusion Hook 4

34 Notice Board With Clips 1

Telephone 1

TABLE 4.1 SURGERY EQUIPMENT


4.4

4.8 Surgeons Washbasin

a. A Surgeons Washbasin is to be provided complete with the following items:

(1) Waste trap.

(2) Splashback.

(3) Mounting brackets (LH & RH).

(4) Elbow operated taps (H & C fresh water).

(5) Plug and chain.

(6) Soap dispenser.

(7) Toilet tray.

(8) Mirror complete with overhead light.

b. A paper towel dispenser and waste bin or a towel rail are to be provided asspecified on the layout drawing.

4.9 Soiled Dressings Bin

a. A pedal-type waste bin is to be provided for soiled dressings and secured to thebulkhead.

b. All work surfaces in the Surgery are to be 1.6mm thick stainless steel with a25mm deep upstand on the front and sides and 65mm deep on the back.

c. Work surfaces are to have watertight seals to the bulkheads.

4.10 Surgeons Desk

a. A surgeons desk is to be provided having the desk top supported on ModularFurniture items.

4.11 Whereabouts Diagram

a. A Whereabouts Diagram is to be fitted to the surgeons desk top under a clearacrylic sheet.

4.12 Chairs

a. The surgeons chair provided is to have arms and be capable of being securedto the deck with a slide keep-batten.

b. A standard folding chair is to be provided for the patient.

c. Bulkhead-mounted stowage straps are to be provided for the patients chairwhen not in use.

4.13 Refrigerator

a. A Pharmacy Refrigerator, capacity 5 cu ft is to be provided with abulkhead-mounted temperature chart recorder.

4.14 Curtain

a. A curtain and rail are to be provided across the entrance to the Surgery. Thecurtain fabric is to comply with NES 129 and the Master Decor SchemeNES 184.

NES 106Part 2


4.5

4.15 Dental Equipment

a. An air control unit for the compressed air operated dental equipment is to beprovided and bulkhead-mounted adjacent to the operating table when rigged.

b. The compressed air supply is to be provided at 0.0566m3/sec.

4.16 Switch Sockets


b. The following 115V 60Hz, single phase, switch sockets are to be provided:

(1) One 15A and one 5A, bulkhead-mounted, adjacent to the Operating Tablewhen rigged.

(2) One 15A, bulkhead-mounted, above the medicine and dressing stowagework surface.

(3) One 15A, adjacent to the refrigerator.

c. One 5A 240V 60Hz single phase switch socket is to be provided andbulkhead-mounted adjacent to the operating table when rigged.

4.17 Lighting

a. A desk light is to be provided over the surgeons desk.

4.18 Operating Table Lights

a. An operating table light is to be provided and sited centrally over the operatingtable when in the rigged position. The unit is to be flush with the deckheadlining.

4.19 Communications

a. A telephone linked to the ships main exchange is to be provided.

4.20 Fire Precautions

a. Fire precautions are to comply with NES 119.


4.6

NES 106Part 2


5.1

5. TREATMENT ROOM/DISPENSARY

5.1 Introduction

a. A Treatment Room/Dispensary is to be provided in Class A and B ships.

5.2 Location

a. In Class A ships the compartment is to be directly accessible from theLobby/Waiting Area and from the Operating Theatre through double doors.

b. In Class B ships the compartment is to be directly accessible from theLobby/Waiting Area through double doors and to have good access to theWard.

5.3 Layout

a. A typical layout of the compartment is shown in FIGURE 5.1.

b. Class B compartments do not require a second double door.

5.4 Equipment


5.5 Resuscitation TrolleyClass A Ships

a. A Resuscitation Trolley is to be provided and positioned within thecompartment such that the minimum distance of 760mm is provided betweenthe trolley, adjacent fittings and closed doors.

b. The trolley is to have quick-release deck retaining clamps.

5.6 Controlled Drugs/Poisons Cupboard

a. A controlled drugs cupboard is to be provided and fitted as detailed in Part 1 ofthis NES.

5.7 Worktops

a. A stainless steel worktop containing two sinks and having 25mm upstands onthe front and sides with a 65mm upstand on the back is to be provided and torun continuously over the Treatment Room cupboard.

b. The worktop is to have a watertight seal with the bulkhead.

c. One sink is to be a scrub-up unit and to be fitted with elbow-operated taps withthe other sink having screw-down taps. Both are to be provided with individualdrainage facilities.

5.8 Refrigerator

a. A pharmacy refrigerator, capacity 0.215 cubic metres (7.6 cubic feet), is to beprovided complete with a bulkhead-mounted temperature chart recorder.


5.2

5.9 Switchsockets


b. Two 5A 240V 60Hz and two 5A 115V 60Hz single phase switch sockets are tobe provided and bulkhead mounted over the worktop.

c. One 15A 115V 60Hz single phase switch socket is to be provided and mountedadjacent to the refrigerator.

NES 106Part 2


5.3

FIGURE 5.1 TYPICAL LAYOUT OF TREATMENT ROOM/DISPENSARY

Item numbers, equipment description and quantities are shown in TABLE 5.1


5.4



1 Double Doors (see text) 2

2 Resuscitation Trolley (Class A)/Operating Table (Class B) 1

3 Instrument Trolley 1

4 Cupboard, Dangerous Drugs 2

5 Treatment Room Cabinet inc Double Sink 1

6 WorktopStainless Steel 2

7 Refrigerator, Complete With Temp Recorder 1

7.6 cu ft Pharmacy Type

8 Clock 1

9 Switch Socket 240V 1

10 Switch Socket 115V 1

11 Operating Theatre Lights (Overhead) 1

12 Switch For Luminaires A/R


14 Splashback (Continuous) 1

15 Stool 1

16 Cupboard 1

17 Cupboard Under Worktop 2

18 Soiled Dressings Bin(Bulkhead Stowed) 1

19 Cabinet (Theatre Type) 1

20 Emergency Fresh Tank, 136 Litres, Above Sink 1

TABLE 5.1 TREATMENT ROOM/DISPENSARY EQUIPMENT

NES 106Part 2


6.1

6. OPERATING THEATRE

a. A dedicated Operating Theatre is to be provided in Class A Ships.

6.1 Location

a. The Operating Theatre is to be adjacent to the Main Ward and the SterilizingRoom and is to have direct access through double doors to the TreatmentRoom/Dispensary.

6.2 Layout


b. A minimum clear space of 750 mm is to be provided all round the operatingtable.

6.3 Equipment


6.4 Door

a. A louvre window, operable only from within the Operating Theatre, is to befitted in the larger of the double doors.

6.5 Operating Table

a. The Operating Table, supplied byMDG(N) is to be fitted in compliance with themanufacturer and with due regard to anti-static precautions.

b. The anti-static precautions are to be certified by the Shipbuilder.

6.6 Operating Table Light

a. An Operating Table Light is to be provided and fitted as in FIGURE 6.2 and inconsultation with MDG(N). It is to be included in the emergency electricalcircuit.

6.7 Fitted Units

a. All bulkhead and deck mounted fitted units are to be of the Modular Range ofFurniture design, NES 128 refers, and where possible in a continuous run tomake optimum use of available space.

b. Deck mounted units are to be to a working height of 900mm including theworktop.

c. Configuration of deck mounted units is to be a drawer under the worktop witha cupboard below it.

d. Knee holes are to be 450mm minimum width.

e. A Controlled Drugs cupboard is to be provided and fitted as detailed in Part 1of this NES.


6.2

FIGURE 6.1 TYPICAL LAYOUT OF OPERATING THEATRE


NES 106Part 2


6.3



1 Operating Table 1

2 Operating Table Lights Overhead 1

3 Bulkhead Mounted Fitted Units 3

4 Worktop With Fitted Units Under A/R

5 CupboardControlled Drugs 1

6 SinkDouble 1

7 SinkScrub-Up 1

8 Soap Dispenser 1

9 Paper Towel Dispenser 1

10 Chair 1

11 Anaesthetic Apparatus 1

12 Dressings Trolleys 1

13 Soiled Dressings Bin 1

14 Clock 1

15 Heater Panel 1

16 Transfusion Hooks 1

17 Towel Rail 4

18 Caps and Coat Hooks 1

19 Double Doors 4

20 Gas Bottle Stowagesee text 1

21 X-Ray Viewing Box 1

22 Automatic Emergency Lantern 1

TABLE 6.1 TREATMENT ROOM DISPENSARY EQUIPMENT


6.4

FIGURE 6.2 OPERATING TABLE LAMPFITTING

SKETCH VIEW OF LAMP WITH PRINCIPAL SIZES

FITTING DIAGRAM (1) END VIEW

FITTING DIAGRAM (2) END VIEW

NES 106Part 2


6.5

f. The cupboard size may be varied to allow for a continuous run with otherbulkhead mounted fitted units.

6.8 Sink

a. A double stainless steel sink is to be provided and let into the worktop.

6.9 Scrub-up Sink

a. A stainless steel scrub-up sink is to be provided with the top of the sink 800mmabove the deck and space allowance of 300mm on each side of the sink forelbows.

b. The sink, with a soap dispenser bulkhead-mounted above and a paper toweldispenser adjacent, is to be sited close to the Treatment Room/Dispensary door.

6.10 Chairs

a. Swivel chairs provided are to be suitable for working at the 900mm worktopheight and are to have seats and back rests covered with a MOD, approvedimpervious wipe-clean material.

6.11 Anaesthetic Apparatus

a. Anaesthetic apparatus supplied by MDG(N) is to be provided withbulkhead-mounted stowage straps for stowage of the apparatus when it is notin use.

6.12 X-Ray Viewing Box

a. The X-Ray viewing box provided is to be bulkhead-mounted with the centre ofthe viewing screen 1600mm above the deck.

6.13 Dressings Trolley

a. The dressings trolley is to be provided with bulkhead-mounted stowage straps.

6.14 Soiled Dressings Bin

a. The soiled dressings bin is to be bulkhead-mounted.

b. A clock with a sweep second hand is to be provided and bulkhead-mountedabove the entrance door.

6.15 Ready-use Medical Gas Bottle Stowage

a. A ready-use medical gas bottle stowage cabinet is to be provided, capable ofcontaining two bottles.

b. The cabinet is to be within the Operating Theatre if space allows, otherwise itmust be in close proximity and secure from unauthorized entry.


6.6

6.16 Switch Sockets


b. Four 5A and one 15A 115V 60Hz single phase switch sockets are to be providedand bulkhead-mounted with easy access to the operating table.

c. Two 5A 240V 60Hz single phase switch sockets are to be provided andbulkhead-mounted with easy access to the operating table.

6.17 Automatic Emergency Lantern (AEL)

a. An AEL is to be provided and fitted to indicate the exit route for the occupants.

NES 106Part 2


7.1

7. DENTAL SURGERY

a. A Dental Surgery is to be provided in Class A and B Ships.

7.1 Location

a. The Surgery is to be within the Medical Complex and accessible from theLobby/Waiting Area.

b. In larger Class A Ships a Dental Clinic, comprising a Dental Surgery, Receptionand Laboratory may be specified separate from the Medical Complex; in thiscase the Surgery within the Clinic is to be as specified in this Section.

7.2 Layout

a. The Surgery is to be laid out in three distinct areas namely Clinical,Sterilizing/Clean and Clerical Areas.

b. The Surgery is to be in as near as possible a square configuration.

c. A typical layout of the compartment is shown in FIGURE 7.1.

7.3 Equipment

a. Equipment for fitting out the compartment is listed in TABLE 7.1.

b. The following items of equipment are supplied by MDG(N) and fitted by themanufacturer:

(1) Dental Chair.

(2) Dental Unit including an aspirator complete with services as advised byMDG(N).

(3) Dental Operating Light, overhead or unit type, mounted with suitabledampening.

7.4 Dental Chair

a. The Dental Chair is to be sited such that when the chair is horizontal with thehead rest fully open there is to be a minimum of 750mm clear space all roundthe chair.

7.5 Dental Unit

a. The Dental Unit including the aspirator is to be operable from both sides of thedental chair.


7.2

FIGURE 7.1 TYPICAL LAYOUT OF DENTAL SURGERY


NES 106Part 2


7.3


NoEQUIPMENT DESCRIPTION QTY

1 Dental Chair 1

1A Aspirator 1

2 Dental Unit 1

3 Dental Light 1

4 X-Ray Unit 1

5 X-Ray Protection Apron Rail 1

6 Warning Light X-Ray In Progress 1

7 Worktops and UnitsClinical A/R

8 WashbasinClinical 1

8A Paper Towel Dispenser 1

8B Soap Dispenser 1

9 Worktops and UnitsSterile/Clean Area A/R

10 SinkSterile/Clean Area 1

11 Instrument Sterilizer 1

12 Ultrasonic Cleaning Unit 1

13 Surgeons Desk and Cupboards A/R

14 Surgeons Chair 1

15 Operating Stool 2

16 Soiled Dressings BinBulkhead Mounted 1


18 Clock 1

19 Towel Rail 1

20 Telephone 1

21 Intercom 1

22 Switch Sockets 240V 12

23 Switch Sockets 115V 2

24 Patient Call System 1

TABLE 7.1 DENTAL SURGERY EQUIPMENT

b. The main air and water controls for the Dental Unit are to be centrally locatedon the bulkhead above the clinical area worktop.

7.6 X-Ray Unit

a. The X-Ray Unit, supplied by MDG(N) complete with bulkhead mountingbracket, swivel arms and programme timer is to be mounted above the worktopso that the unit can be directed to the head of the dental chair in the horizontaland vertical positions.

b. A retaining bracket to secure the extending arm when not in use is to beprovided.

c. The programme timer is to be sited adjacent to the bulkhead mounting bracketand permanently connected to the 240V 60HZ single phase supply via an earthleakage breaker.


7.4

7.7 X-Ray Protection Apron Stowage

a. A stowage rail for the X-ray protection apron is to be provided. The rail is to be77mm dia 1000mm long.

7.8 X-Ray in Progress Warning Light

a. A warning light showing X-Ray InProgress when illuminated is to be providedand bulkhead mounted outside the Surgery adjacent to the entrance door.

7.9 Clinical Area Worktops and Units

a. Worktops provided in the Clinical Area are to be continuous and are to bemounted over units to the Modular Range of Furniture (NES 128) Standard asadvised by MDG(N).

b. Worktop heights are to range from 690mm to 870mm above the deck as advisedby MDG(N)

c. All seams and edges are to be sealed against potential mercury spillage.

d. Coving, 75mm high, is to be provided between the worktop and bulkheads.

7.10 Clinical Area Washbasin

a. A washbasin set in the worktop is to be provided together with bulkheadmounted soap dispenser and paper towel dispenser.

7.11 Sterilizing/Clean Area Worktop and Units

a. Continuous worktops at a height of 860/870mm above the deck and mountedover units to the Modular Range of Furniture (NES 128) Standard are to beprovided in the Sterilizing/Clean area.

b. Coving 75mm high is to be provided between the worktop and the bulkhead.

7.12 Sterilizing/Clean Area Sink

a. A stainless steel sink with screw down taps and drainage facilities is to beprovided set into the worktop.

7.13 Fitted Unit Interiors

a. Interior arrangements of units fitted under worktops in Clinical andSterilizing/Clean areas are to be agreed with MDG(N) at the design stage.

7.14 Sterilizing Unit

a. An instrument sterilizing unit supplied by MDG(N) is to be securely mountedto the worktop adjacent to the sink in the Sterilizing/Clean area.

7.15 Ultrasonic Unit

a. An ultrasonic cleaning unit supplied by MDG(N) is to be securely mounted tothe worktop in the Sterilizing/Clean area.

7.16 Clerical AreaSurgeons Desk

a. The Clerical area is to be provided with a Surgeons desk comprising a desk topmounted on a lateral filing unit and a nest of drawers with a bulkhead-mountedclip-board and bookcases above the desk top.

NES 106Part 2


7.5

b. The filing unit, nest of drawers and bookcases are to be to the Modular Rangeof Furniture (NES 128) Standard.

c. A desk light is to be provided and mounted under the bookcase.

7.17 Surgeons Chair

a. A swivel office chair is to be provided and secured to the deck utilizing a slidetype keep-batten centred at the desk knee hole.

7.18 Patient Call System

a. A patient call button and cancellation switch are to be provided and sited at theSurgeons desk.

7.19 Operating Stools

a. Two operating stools on lockable castors are to be provided.

b. Straps, bulkhead mounted, are to be provided for stowing the operating stools.

7.20 Switch Sockets


b. Twelve 5A 240V 60Hz single phase and two 5A 115V 60Hz single phase switchsockets are to be provided and sited on the bulkheads over worktops as advisedby MDG(N).

7.21 Communications

a. A telephone linked to the ships main exchange and the reception telephone isto be provided and bulkhead-mounted at the Surgeons desk.

b. An intercom system linked to the laboratory and reception is to be provided andsited at the Surgeons desk.


7.6

NES 106Part 2


8.1

8. DENTAL LABORATORY

8.1 Introduction

a. A Dental Laboratory is to be provided in Class A Ships.

8.2 Location

a. The compartment is to be within theMedical Complex with access to the LobbyWaiting area and adjacent to the Dental Surgery.

b. In larger Class A Ships aDental Clinic comprising aDental Surgery, Laboratoryand Reception may be separate from the Medical Complex; in this case theLaboratory within the Clinic is to be as specified in this Section.

8.3 Layout


b. Equipment for fitting out the compartment is given in TABLE 8.1.

c. The compartment is to be lightproof.

8.4 Fitted Units

a. Fitted units under the workbench, sink and worktop and lathe bench are to beto the Modular Range of Furniture (NES 128) Standard in a configuration asadvised by MDG(N) at the Design Stage.

8.5 Workbench

a. A workbench made up of a worktop supported on fitted units is to be provided.

b. The worktop is to be made from fireproofed plywood, faced and edged withwhite HPL.

c. The worktop is to be 715mm above the deck.

8.6 Sink and Worktop

a. A stainless steel sink fitted with screw-down taps and drainage incorporatinga plaster trap is to be provided.

b. The sink is to be set into a stainless steel worktop supported on fitted units.

c. The worktop is to have 50mm upstands along the back and 25mm upstandsalong the sides and front, and fitted with a waste shute and recepticle as inFIGURE 8.2.

d. The worktop is to be 860/870mm above the deck.

8.7 Lathe Bench

a. A stainless steel lathe bench with dimensions as for the worktop incorporatingthe sink is to be provided.

b. The bench top is to be 860/870mm above the deck and supported on fitted units.


8.2

Item numbers, equipment and quantities are shown in TABLE 8.1

FIGURE 8.1 TYPICAL LAYOUT OF DENTAL LABORATORY

NES 106Part 2


8.3

ITEMEQUIPMENT QTY

NoEQUIPMENT QTY

1 Workbench With Fitted Unit Under 1

2 Sink/Worktop With Fitted Units Under 1

3 Waste Chute 1

4 Lathe Bench With Fitted Units Under 1

5 Dental Vibrator 1

6 Plaster Trimmer 1

7 X-Ray Film Processor 1

8 Lathe 1

9 Warning Light 1

10 Dark Room Light Complete 1


12 Bench Lighting 3

13 Switch Sockets 240V Double Outlet 3

14 Switch Sockets 15V Double Outlet 1

15 Telephone 1

16 Intercom 1

TABLE 8.1 DENTAL SURGERY EQUIPMENT


8.4

FIGURE 8.2 WASTE CHUTE IN SINK UNIT DENTAL LABORATORY

NOTE:

LID TO SLEEVEUP AND DOWN THECHUTE TO ENABLEREMOVAL OF BOXFOR CLEANINGPURPOSES.CHUTE AND BOX TOBE OF 1.6mmALUMINIUM ALLOY

NES 106Part 2


8.5

8.8 Dental Vibrator

a. A dental vibrator supplied by MDG(N) is to be secured to the workbench.

8.9 Dental Plaster Trimmer

a. A dental plaster trimmer supplied by MDG(N) is to be secured to the worktopadjacent to the sink.

b. The trimmer is to be provided with a cold fresh water supply.

8.10 X-Ray Film Processor

a. An X-ray film processor supplied by MDG(N) is to be sited adjacent to the sink.

8.11 Lathe

a. A lathe supplied by MDG(N) is to be sited on the lathe bench.

8.12 Warning Light

a. A warning light showing Film Processing In Progress when illuminated is tobe provided and bulkhead-mounted outside the Laboratory adjacent to theentrance door.

8.13 Dark Room Light

a. A dark room light complete with screen and safe-light filter is to be provided andbulkhead-mounted above the X-ray film processor.

b. A switch that simultaneously controls the dark room light and thewarning lightis to be provided.

8.14 Switch Sockets


b. Three double outlet 5A 240V 60Hz single phase switch sockets are to beprovided and sited centrally over the workbench, sink worktop and lathe bench.

c. One double outlet 5A115V 60Hz single phase switch socket is to be provided andsited over the workbench.

8.15 Lighting

a. Lights centrally positioned over the workbench, sink/worktop and lathe benchare to be provided.

8.16 Communications

a. A bulkhead mounted telephone connected to the ships main exchange is to beprovided.

b. An intercom connected to the Dental Surgery and Reception is to be provided.


8.6

NES 106Part 2


9.1

9. PATHOLOGICAL LABORATORY/DARK ROOM

a. A Pathological Laboratory/Dark Room is to be provided in Class A Ships.

9.1 Location

a. The compartment is to be within the Medical Complex with direct access to theLobby/Waiting area.

9.2 Layout

a. A typical layout showing the main items of equipment is in FIGURE 9.1.

9.3 Equipment

a. The equipment for fitting out the compartment is listed in TABLE 9.1.

b. The compartment is to be lightproof.

9.4 Pathological Bench Unit

a. A pathological bench unit is to be provided complete with elbow operated tapsfor hot and cold fresh water supplies and full drainage facilities.

9.5 Sink and Cupboard Unit

a. A sink and cupboard unit is to be provided complete with screw-down taps. Thetaps are to be 560mm above the bottom of the sink bowl.

9.6 Developing Tank

a. A film developing tank with a bulkhead-mounted spring clip to hold the top inthe open position is to be provided.

9.7 Film Drying Rack

a. A stainless steel film drying rack is to be provided and bulkhead-mounted610mm above the developing tank.

9.8 Refrigerator

a. A 0.142 cubic metre (5 cu ft) pharmacy refrigerator complete with a bulkhead-mounted temperature chart recorder is to be provided.

9.9 Deep Freezer Unit

a. A 0.142 cubic metre (5 cu ft) top loading deep freeze unit is to be provided. Theunit is to be capable of maintaining a temperature of 20 C to 30 C.

9.10 Warning Light

a. A warning light showing Developing In Progress When Illuminated is to beprovided and bulkhead-mounted adjacent to the door.

9.11 Dark Room Light

a. A dark room light complete with screen and safe-light filter is to be provided andbulkhead-mounted above the developing tank.

b. A switch that simultaneously controls the dark room light and thewarning lightis to be provided.


9.2

9.12 Switch Sockets

a. Three 15A 115V 60Hz and one 15A 240V 60Hz single phase switch sockets areto be provided, one on the bulkhead above the pathological bench, one adjacentto the refrigerator and one adjacent to the deep freeze unit.

NES 106Part 2


9.3


FIGURE 9.1 TYPICAL LAYOUT OF PATHOLOGICALLABORATORY/DARK ROOM


9.4



1 Sink Unit With Cupboards Under 1

2 Film Developing Unit 1

3 Film Drying Rack 1

4 Two/Three Drawer Unit 1

5 Pathological Unit 1

6 Refrigerator Complete5 cu ft 1

7 Bookcase 2

8 Shelf With Keep-Battens 2

9 Hinged Table 1

10 Stool 1

11 Towel Rail 1

12 Warning Light 1

13 Dark Room LightOverhead 1


15 Work TopStainless Steel 1

16 CupboardBulkhead Mounted 2

17 Deep Freeze Unit, Complete5 cu ft 1

18 WorktopStainless Steel 2

19 Cupboard Under Worktop 1

20 Splashback 2

21 Clock 1

TABLE 9.1 PATHOLOGICAL LABORATORY/DARK ROOM EQUIPMENT

NES 106Part 2


10.1

10. WARDS

a. MainWards are to be provided in Class A, B and C Ships with an Isolation Wardprovided in Class A Ships only.

10.1 Ward Accommodation

a. Main Wards are to accommodate the following:

(1) Class Amaximum of twelve patients

(2) Class Bmaximum of eight patients

(3) Class Cmaximum of two patients

b. The Isolation Ward is to accommodate a maximum of two patients.

c. The Ward in Class C Ships may also be used as temporary accommodation fortwo personnel on instructions from FOSF.

10.2 Location

a. TheMain and IsolationWards inClassA Ships are to have direct access throughdouble doors to the Lobby/Waiting area with the Main Ward also having directaccess to the Operating Theatre.

b. The Ward in Class B Ships is to have direct access through double doors to theLobby/Waiting area with good access to the Treatment Room/Dispensary.

c. The Ward in Class C Ships is to have direct access to the Surgery and to thepassageway through a second door.

10.3 Layout

10.3.1 Main Ward

a. Layouts of theMainWard for ClassA, BandCShips are shown inFIGURE 10.1,FIGURE 10.2 and FIGURE 10.3 respectively.

10.3.2 Isolation Ward

a. Layout of the Isolation Ward is shown in FIGURE 10.4.


10.2


FIGURE 10.1 TYPICAL LAYOUT OF CLASS A MAIN WARD

NES 106Part 2


10.3


FIGURE 10.2 TYPICAL LAYOUT OF CLASS B MAIN WARD


10.4

FIGURE 10.3 TYPICAL LAYOUT OF CLASS C MAIN WARD


NES 106Part 2


10.5

FIGURE 10.4 TYPICAL LAYOUT OF CLASS A ISOLATION WARD



10.6

10.4 Equipment

a. The equipment requirement for the Main and Isolation Wards is inTABLE 10.1.

10.5 Twotier Medical Berth

a. A two-tier medical berth is to be provided with the lower bunk fixed oversuitable stowage units and the upper berth capable of being folded upwards andretained.

b. An amenity panel, attendant call system and reading lights are to be providedfor all berths.

10.6 Amenity Panel

a. The amenity panel to be provided at each berth is to be fitted with the following:

(1) An attendant call system.

(2) One 240V 60Hz single phase switch socket.

(3) A control unit for a SRE headset.

b. The lower bunk amenity panel is to be fitted with one 115V 60Hz single phaseswitch socket in addition to the above items.

10.7 Attendant Call System

a. The attendant call system to be provided at each berth is to comprise thefollowing:

(1) an indicator light;

(2) a floating call button;

(3) a cancel button.

These are to be connected to a call light and alarm buzzer sited outside theward.

10.8 Reading Lights

a. All berths are to be provided with a reading light complete with an on/off switchand incorporating a two-pin shaver socket mounted at the head of each bunk.

10.9 Siting of Berths

a. Berths are to be sited in a fore and aft position but if, exceptionally, sitedathwartships, the head is to be placed towards the mid-line.

10.10 Spacing of Berths

a. A minimum distance of 760mm is to be provided between the accessible side ofthe berths and the adjacent furniture.

b. Where berths are sited facing each other a minimum distance of 900mm is tobe provided between them.

10.11 Mattresses

a. A spring interior mattress, complying with NES 165, is to be provided for eachberth.

NES 106Part 2


10.7

10.12 Ladders

a. Each upper berth is to be provided with an access ladder. Stowage for the ladderwhen not in use is to be provided adjacent to the berth.

10.13 Food Trays

a. One food tray per berth is to be provided. Stowage for the trays is to be providedeither individually or centrally as space allows.

10.14 Patients Kit Stowage

a. Stowage for patients kit is to be provided in lockable units under the lowerberth.

10.15 Towel Rail

a. A towel rail fitted outside the headboard of the two-tier bunk unit is to beprovided for each berth.

10.16 Curtains and Rails

a. Curtains are to be provided where possible to each two-tier bunk unit.

b. The curtain rail is to be mounted at a minimum of 460mm out from the bunks.

c. The curtain fabric is to comply with NES 129 and the Master Decor Scheme,NES 184.

10.17 Surgeons Washbasin

a. A Surgeons washbasin is to be provided complete with the following items:

(1) Elbow operated taps for hot and cold fresh water supplies.

(2) Full drainage facilities including a waste trap.

(3) Left and right hand basin support brackets.

(4) Splashback.

(5) Mirror complete with light.

(6) Soap dispenser.

(7) Toilet tray.

(8) Plug and retaining chain.

(9) Towel rail or paper towel dispenser.

(10) Waste bin.

10.18 Wash-up Cabinet

a. A wash-up cabinet is to be provided and fitted complete with items (1), (2), (4),and (6)(10) inclusive as above.

10.19 Switch Sockets



10.8

10.20 Communications

a. A telephone connected to Reception and to the Ships main exchange is to beprovided.

b. The loudspeaker provided for the Ships main broadcast system is to have avolume control.

NES 106Part 2


10.9

Ward EquipmentQuantities

Ward EquipmentMain Ward Isol

ItemEquipment Description

A B C Ward

NoEquipment Description

1 Two-tier Medical Bunk with: 6 4 1 1

Amenity Panels

Attendant Call System

Reading Lights

Mattresses

Food Trays

Towel Rails

Patient Stowage Units (Under)

Ladder

2 Folding Table 2 1

3 Nesting Chair 4 3 1

4 Hinged Table 4 2 1

5 Surgeons Washbasin (see text) 1

6 CupboardBedding 2 2

7 CupboardGames 1 1

8 Bookcase 1 2

9 CupboardGeneral, Small 1 1 1

10 Notice Board 1 1 1

11 CupboardGeneral, Tall 1 1

12 Magazine Rack 1 1

13 Cap and Coat Hooks 12 8 3 3

14 Transfusion Hooks Over Bunks 12 8 2 2

15 Clock 1 1 1

16 CupboardFood 1

17 BulkheadPortable (Item 3 in SurgerySection)

1

18 Wash-Up Cabinet (see text) 1 1

19 Shelf 1

20 CupboardWardrobe 1

21 Curtain and Rail A/R A/R A/R

22 Telephone 1 1 1

23 Loudspeaker With Volume Control 1 1 1 1

TABLE 10.1 WARD EQUIPMENT


10.10

NES 106Part 2


11.1

11. WARD PANTRY

11.1 Introduction

a. A ward pantry is to be provided in Class A Ships.

11.2 Location

a. The pantry is to be within the Medical Complex with direct access to the MainWard.

11.3 Layout

a. A typical layout of the main items of equipment is shown in FIGURE 11.1.

11.4 Equipment

a. The equipment for fitting out the compartment is given in TABLE 11.1.

11.5 Sink Unit

a. A double stainless steel sink unit is to be provided complete with hot and coldfresh water supplied through screw-down taps and drainage facilities.

11.6 Worktops

a. Stainless steel worktops are to be provided.

11.7 Cupboards and Drawer Units

a. Fitted cupboards and drawer units are to be provided and sited under the sinkunit and worktops.

11.8 Shelves

a. A stainless steel shelf with a 50mm upstand is to be provided and mounted380mm above the worktop to which the heated food containers, toaster andmicrowave oven are secured.

b. A stainless steel shelf 380mm wide with keep-battens is to be provided andbulkhead-mounted above the sink unit.


11.2

FIGURE 11.1 TYPICAL LAYOUT OF WARD PANTRY

NES 106Part 2


11.3



1 Sink Unit 1

2 Splash Back 1

3 Stainless Steel Worktop 1

4 Shelf With Upstand 1

5 Heated Food Container 4

6 Toaster 1

7 Microwave Oven 1

8 Tea Urn 1

9 Shelf With Keep-Batten 1

10 Refrigerator, Domestic, Automatic, 5 cu ft 1

11 Towel Rail 2

12 CupboardBulkhead-Mounted 2

TABLE 11.1 EQUIPMENT REQUIREMENT FOR WARD PANTRY

11.9 Tea Urn

a. A 1.5kw tea urn is to be provided and secured on the bulkhead over the worktopadjacent to the sinks.

11.10 Electrical Requirements

a. A 115V 60Hz single phase supply is to be provided for the grill/boiler and toaster.The units are to be permanently wired.

b. The tea urn is to be permanently wired to the main supply.

c. A 5A 115V 60Hz single phase switch socket is to be provided for each foodcontainer supplied.

d. A 15A 115V 60Hz single phase switch socket is to be provided for therefrigerator.


11.4

NES 106Part 2


12.1

12. STERILIZING ROOM

12.1 Introduction

a. A Sterilizing Room is to be provided in Class A and B Ships.

b. In Class B Ships this compartment may double up as a Ward Pantry.

c. The Sterilizing Room is to have access from the Lobby/Waiting area through asliding door.

d. In Class A Ships the compartment is to be adjacent to the Operating Theatreand the Main Ward.

e. In Class B Ships the compartment is to be adjacent to the TreatmentRoom/Dispensary and the Main Ward.

12.2 Layout

a. A typical layout is shown in FIGURE 12.1.

12.3 Equipment

a. The equipment for fitting out the compartment is given in TABLE 12.1.

12.4 Deck Drains

a. Two deck drains are to be provided and sited one in each end of the lowest sideof the deck.

FIGURE 12.1 TYPICAL LAYOUT OF STERILIZING ROOM


12.2



1 SinkStainless Steel 1

2 WorktopStainless SteelContinuous 1

3 CupboardsFitted Under Worktop A/R

4 CupboardsFitted Bulkhead Mounted A/R

5 Porous Load Sterilizer 1

6 Instrument Sterilizer 1

7 Towel Rail 1

8 Wash Down Tap 1

9 Microwave OvenClass B Only 1

10 Door 1

11 Emergency Water Tank Over Item 1 1

TABLE 12.1 STERILIZING ROOM EQUIPMENT

12.5 Fitted Units

a. A stainless steel worktop with a stainless steel sink set in is to be provided.Cupboards, to the Modular Range of Furniture Standard (NES 128), are to befitted underneath the worktop and sink.

b. Bulkhead-mounted cupboards, to the Modular Range of Furniture Standard(NES 128), are to be sited above the worktop and sink sufficient to stow sixsterile dressings drums each 343mm dia 242mm high.

c. Additional cupboards may be provided should space allow.

12.6 Emergency Water Tank

a. An emergency water tank, 136 litres (30 gallons) capacity is to be provided andsited in the deckhead over the sink. A pipe and screw-down tap to the sink areto be fitted. A tally plate with operating instructions is to be provided.

12.7 Instrument Sterilizer

a. A downward displacement instrument sterilizer supplied by MDG(N) is to besecurely mounted on the worktop adjacent to the sink.

12.8 Porous Load Sterilizer

a. A porous load sterilizer supplied by MDG(N) is to be provided with fresh water,steam, electrical supplies and drainage as per installation instructions.

12.9 Microwave Oven (Class B only)

a. The microwave oven provided is to be securely mounted on the worktop andpermanently wired to the electrical supply.

NES 106Part 2


13.1

13. TOILET AND WASH FACILITIES

a. Toilet and wash facilities in the form of bathrooms, shower-rooms andWCs areto be provided for Main and Isolation Wards andWCs for the Out-Patients area.

b. The compartments are to comply with NES 120.

13.1 Location

a. Each Main and Isolation Ward is to be provided with a dedicated facility. Thereis to be direct access from the Ward, with the exception of Class C Ships whereaccess will be from the Surgery.

b. The WC provided in the Out-patients area of Class A and B Ships is to beadjacent to the Consulting Room(s) with access from the Lobby/Waiting area.

13.2 Facilities

a. The toilet and wash facilities to be provided in each Class of Ship and thecompartments major constituents are shown in TABLE 13.2.

Facilities

Bath Bath Shower Shower WC WC

Class Location room room Room Room & BCU

& BCU & BCU

Main Ward n n n

A Isolation Ward n

Out-Patients Area n

B Main Ward n n

Out-Patients Area n

C Ward n

Major Constituents

Bath With Shower Over n n

Shower Unit n n

Washbasin n n n n n n

WC n n n

WC With BCU n n n

BCU = Bedpan Cleaning UnitTABLE 13.2 TOILET AND WASH FACILITIES AND MAJOR CONSTITUENTS OF

COMPARTMENTS

13.3 Layout

a. Typical layouts of each facility are shown in FIGURE 13.1, FIGURE 13.2 andFIGURE 13.3.

b. In Class A and B Ships the Main Ward facilities may be combined into onecompartment provided the Bathroom has a separate entrance to the Ward.


13.2

FIGURE 13.1 TYPICAL LAYOUT OF BATHROOM


NES 106Part 2


13.3

FIGURE 13.2 TYPICAL LAYOUT OF SHOWER-ROOM

Item numbers, description and quantities are tabulated in TABLE 9.1

FIGURE 13.3 TYPICAL LAYOUT OF WC

Item numbers, description and quantities are tabulated in TABLE 13.1


13.4

Item Equipment Br Sr WC WC

No Description Br & BCU Sr & BCU out & BCU

1 WCBulkheadMounted

1 1 1 1 1 1

Solid Lid and

Backrest

2 Deodorizer 1 1 1 1 1 1

3 Hand Hold (WC) 1 1 1 1 1 1

4 Toilet Roll Holder 1 1 1 1 1 1

5 Towel Rail 2 2 2 2

6 Toilet Cabinet and Tray 1 1 1 1

7 Washbasin 1 1 1 1

Corner Washbasin 1* 1*

8 Cap and Coat Hooks

9 Bath Unit with Shower 1 1

Shower Cubicle 1 1

10 Hand Hold (Bath/ 1 1 1 1

Shower)

11 Soap Tray (Bath/ 1 1 1 1

Shower)

12 Curtain (Bath/Shower) 1 1 1 1

13 Paper Towel Dispenser 1 1

14 Waste Bin 1 1

15 Soap Dispenser 1 1

16 Bedpan Cleaning Unit 1 1 1

(BCU)

17 Bedpan and Bottle Rack 1 1 1

18 XRay Developing Tank 1

19 Worktop with Cupboard 1

Attendant Call System 1 1 1 1

Warning Light 1B

Dark Room Light 1B

Br = Bathroom

Sr = Shower Room

BCU = Bedpan Cleaning Unit

Out = Outpatients

B = for Class B only

* = may be normal type of washbasin if space allowsTABLE 13.1 TOILET AND WASH FACILITIES EQUIPMENT

NES 106Part 2


13.5

13.4 Equipment

a. The equipment for fitting out the toilet and wash facilities is given inTABLE 13.1.

b. Class B bathrooms are to be light proof.

13.5 Attendant Call System

a. An Attendant Call System comprising an indicator light, pull and call switchand a cancel button is to be provided and connected to the call light and alarmbuzzer sited outside the Ward or in the Surgery.

b. The indicator light and cancel button are to be sited outside the compartmentadjacent to the door.

13.6 Washbasin

a. Washbasins are to be provided complete with the following items:

(1) Screw-down taps for hot and cold fresh water supplies.

(2) Full drainage facilities including a waste trap.

(3) Left and right hand basin support brackets.

(4) Splashback.

(5) Plug and retaining chain.

13.7 Electrical Requirements

a. In Class B Ships, the bathroom is to be provided with a Warning-LightBoxDeveloping in Progress and a Dark-Room Light.

b. The Warning-Light Box is to be bulkhead-mounted in a position readily visiblebefore entering the compartment.

c. The Dark Room Light, complete with a screen and safe light filter, is to bebulkhead-mounted inside the compartment.

d. A switch is to be provided that simultaneously controls the Warning-Light Boxand the Dark-Room Light.


13.6

NES 106Part 2


A.1 ANNEX A

ANNEX A.

RELATED DOCUMENTS

A.1 The following documents and publications are referred to in this NES:

See Clause

NES 119 Requirements for Fire Protection andDamage Control for Surface Ships

4.20a.

NES 120 Requirements for WCs, Urinals, Bathroomsand Washing Facilities in Surface Ships

13.b.

NES 128* Requirements for Furniture and Fittings inSurface Ships and Submarines

6.7a.,7.9a.,7.11a.,7.16b.,8.4a.,12.5a.

NES 129 Requirements for Soft Furnishings andFabrics

4.14a.,10.16c.

NES 165 Requirements for Spring Interior Mattressesfor Use in Surface Ships and Submarines

10.11a.

NES 184* Requirements for Master Decor Scheme ofAccommodation Areas in Surface Ships andSubmarines

4.14a.,10.16c.

* Not yet published.


A.2ANNEX A

NES 106Part 2


B.1 ANNEX B

ANNEX B.

DEFINITIONS AND ABBREVIATIONS

B.1 For the purpose of this NES the following apply:

a. Definitions

Utilizable Space The area within a minimum deck height tothe underside of the deck-head lining of2135mm

Classification of Medical andDental Facilities

Class ACVSClass BLPD/LPHClass B LPD/LPHClass CDD/FF/OSV/MCMVClass C DD/FF/OSV/MCMVClass DMinor War Vessels

b. Abbreviations

AEL Automatic Emergency Lantern

CSA Casualty Sorting Area

DNDS Director Naval Dental Service

FAP First Aid Post

HPL High Pressure Laminate

QAWT Quick Action Watertight Door

RFA Royal Fleet Auxiliary

MDG(N) Medical Director General (Navy)

SO3(MED(P&P)) Staff Officer 3 (Medical (Policy and Plans))

SMP Secondary Medical Position

SR(Sea) Staff Requirement (Sea)

SRE Sound Reproduction Equipment

UDMS Upper Deck Medical Station

VDU Visual Display Unit

Vessels

CVS Carrier

DD Destroyer

FF Frigate

LPD Landing Platform Dock

LPH Landing Platform Helicopter

MCMV Mine Countermeasure Vessel

OSV Ocean Survey Vessel


B.2ANNEX B

Inside Rear Cover

Crown Copyright 2000

Copying Only as Agreed with DStan

Defence Standards are Published by and Obtainable from:

Defence Procurement AgencyAn Executive Agency of The Ministry of Defence

Directorate of StandardizationKentigern House65 Brown Street

GLASGOW G2 8EX

DStan Helpdesk

Tel 0141 224 2531/2 Fax 0141 224 2503

Internet e-mail [email protected]

File Reference

The DStan file reference relating to work on this standard is D/DStan/69/02/106.

Contract Requirements

When Defence Standards are incorporated into contracts users are responsible for their correctapplication and for complying with contractual and statutory requirements. Compliance witha Defence Standard does not in itself confer immunity from legal obligations.

Revision of Defence Standards

Defence Standards are revised as necessary by up issue or amendment. It is important thatusers of Defence Standards should ascertain that they are in possession of the latest issue oramendment. Information on all Defence Standards is contained in Def Stan 00-00 Standardsfor Defence Part 3 , Index of Standards for Defence Procurement Section 4 Index of DefenceStandards and Defence Specifications published annually and supplemented regularly byStandards in Defence News (SID News). Any person who, when making use of a DefenceStandard encounters an inaccuracy or ambiguity is requested to notify the Directorate ofStandardization (DStan) without delay in order that the matter may be investigated andappropriate action taken.

CONTENTSTITLE PAGESCOPEFOREWORDSponsorshipConditions of ReleaseGeneralMOD Tender or Contract Process

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