Most of my work is in Long Term Care Facilities, but I'm always looking for a cost effective alternative to FRP or similar wall protection, especially for head walls of Patient Rooms. Most Owners still seem to prefer routine patching and painting over the expensive protection systems.
I recently spec'd a water based epoxy on a recent project, but haven't had it applied anywhere yet. I'm hopeful that it will be more durable at a small cost, but it's still basically paint.
We're using a lot of the Inpro type products in corridors. The initial cost is high, but the savings in long term maintenance appears to make it worth the cost.
Other suggestions are always welcome.
Regarding "casework behind the beds and on the entire patient head wall" here are several examples:
https://www.pagethink.com/v/project-detail/Texas-Children-s-Hospital-West-Campus/3t/ image #5 (operable casework)
https://www.pagethink.com/v/project-detail/Houston-Methodist-West-Hospital/58/ image #10 (fixed p-lam, not casework)
https://www.pagethink.com/v/project-detail/Lakeway-Regional-Medical-Center/4a/ image #8
https://www.pagethink.com/v/project-detail/Chickasaw-Nation-Medical-Center/34/ image #2
https://www.pagethink.com/v/project-detail/Baylor-Surgical-Hospital-at-Fort-Worth/85/ image #9
https://www.pagethink.com/v/project-detail/Scott-White-Emergency-Hospital/5b/ image #5
Kurt M. Neubek, FAIA Principal firstname.lastname@example.org
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Yes, I allow for a level 4 in non-critical areas and areas where I don't have wall-washers or other special lighting. We, too have gotten away from any wall coverings unless specifically required or adamantly requested by the user group (I can think of one of maybe the last 25 projects). I keep level 5 finish for any accent walls with special lighting/ signage, infection control high-risk areas, etc. I haven't had any issues. The only thing I've had pop up in the past year is one plumbing inspector insisted on epoxy paint (not the low VOC kind, and not just mold and mildew resistant) around every plumbing fixture. He specifically required epoxy. We didn't find that specific interpretation in the code, but wanted to open our clinic, so we painted a few rooms over the weekend, ventilated best we could, and moved on. Haven't had him since.
Following up on Tiffany's comments which I agree with GA214 is a good document to follow and gives some discussion on the use of Level 4 vs. Level 5. It is non-specific to healthcare, but a good industry reference to use as a basis. http://www.americangypsum.com/sites/default/files/documents/GA-214-10e-webversion.pdf
UF Health has used dry wall and painting only for several decades now. Too many complications with "wall paper". However, I am not sure we can get a "level 5" finish anymore, just don't have the craftsman. We are using "level 4" and "eggshell" or "Satin" paint finish. No Sheen does a pretty good job at hiding wall irregularities.
Bradley S. Pollitt, AIA
Vice President, Facilities
UF Health Shands Hospital
1600 SW Archer Road
P.O. Box 100366
Gainesville, FL 32610
Office – 352.265.0088
Fax – 352.265.0499
1. in general patient areas like clinics and diagnostic areas has to be of smooth and seamless finish to avoid cross contamination, painted with anti bacterial finish.
2. in operating rooms, the latest trends is to painted S/S panels (or what is called modular system). for easy clean and disinfection. currently I am working on a project where the client requested to have modular system with glass panels. which in my opinion is not justified and very difficult to handle and maintain.
Level of finish and wall texture are two different issues. You do not necessarily have to add a light texture to a Level 4 finish. When subjected to critical lighting a Level 5 finish is recommended. Otherwise a Level 4 finish can be used, with or without a light texture. The differences in cost between Level 4 and 5 is significant.
Yes, we have started using Level 4 Finishes in the most clinics & hospitals except for critical areas. (IE OR's & Procedure Rooms.)
Because most of our work is in the Rural Critical Access Hospital area we have even found that it is hard to get the trades to do a Level 5 Finish and the rural hospitals do not want to pay for the added cost of Level 5 finishes unless necessary.
So we have been trending to use the Level 4 finish.
Hope this helps.
After reading the responses, I need to rephrase my question:
Is anyone using a light orange peel texture in their hospitals and clinics in spaces other than OR's, ICU's, Emergency Rooms, etc?
It should be less expensive than a smooth wall and be easier to repair.
Is there an infection control risk with a light textured wall? Is it really more difficult to clean?