Healthcare Design - October 2016 - 52


LOOKING TO IMPROVE EFFICIENCIES

Just as there's no one model for nurses' stations,
there's also no one approach to materials distribution and storage on today's inpatient units.
Some facilities choose to distribute supplies
throughout the unit to put them near caregivers,
with large storage rooms used for bulkier equipment located in hubs where units intersect.
"This will often drive a just-in-time supply model, which reduces space on the unit and eliminates the need for excess storage," says NBBJ's
Fishking.
Black is seeing more facilities implementing
on-stage and off-stage layouts as part of an effort to improve the patient experience by reducing noise and clutter, moving such activities as
waste management, supply restocking, and staff
respite to an off-stage area in the center of a racetrack layout. "It screens all of that activity from
the patients and families," he says.
For example, the supply and equipment rooms
at Cooper University Hospital's Roberts Pavilion are tucked into the staff passageways that
run perpendicular to the racetrack layout. "You
have to take your cart off the main corridor to
unload it, so when you look up and down the
patient corridor you don't see a lot of carts and
such that you might typically see in other units,"
says Mary Frazier, principal at EwingCole (New
York), the architecture firm on the project. (For
more on the Cooper University Hospital project,
see "Changing With the Times" on page 54.)

PLANNING
AHEAD

it's a luxury to have a 5- or 6-foot-wide alcove,"
Burnette says. "It seems to be moving closer to
a 4-foot space where someone could pull up a
second chair [to sit with a coworker], but for
day-to-day it's one nurse or clinician doing some
charting between rounding."

As inpatient acuity levels
continue to rise, healthcare organizations are
challenged to rethink not
only their care processes
but their care environments.
"In the future, critical care
beds may outnumber acute
care beds," says Alan
Black, market sector leader
and principal at FKP.
To prepare for this,
designers agree that
facilities should consider
building acuity-adaptable
rooms or putting the
infrastructure in place so
that additional gases,
electrical outlets, and
other equipment can
easily be added down the
road. "Our recommendation to every client is that
at least a certain percentage, if not all, of your
inpatient rooms should

be designed so they can
be converted to intensive
care beds," Black says.
Some facilities, such
as MetroHealth in Cleveland, a Level 1 trauma
center, are also planning
for future major disasters.
The new ICU rooms in
its critical care pavilion
have gases arranged so
that a second bed can
be temporarily added to
private patient rooms to
provide high-level care
for two people until one
can be moved elsewhere.
"One of our goals was to
create rooms that were
as flexible as possible
with the ability to deliver
any level of care," says
Walter Jones, senior
vice president of campus
transformation at The
MetroHealth System.

In the case of a major
disaster, MetroHealth's
new ICU patient rooms
can flex to accommodate a second bed
and medical gases
needs for a temporary
period, doubling the
facility's capacity.

S T AY I N G F L E X I B L E

CRAIG DUGAN PHOTOGRAPHY

Healthcare organizations are still figuring out
technology's impact on the inpatient unit. The
mandate for EMRs means that "computers
are everywhere now," says FKP's Black. While
there's no consensus on how best to support
them, with some facilities preferring wallmounted workstations in the patient rooms and
corridors while others are pushing workstations
on wheels from room to room or experimenting
with laptops, designers are wrestling with storage and charging solutions for this ever-changing mix. "Until it truly becomes technology that
doesn't require space, we're not reducing the
size of the units," says ESa's Burnette. "In some
Main article continued on page 56

52

OCTOBER 2016

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Table of Contents for the Digital Edition of Healthcare Design - October 2016

Healthcare Design - October 2016
Contenst
EDITORIAL
SHOW TALK
PHOTO TOUR
THE SUITE LIFE
FIRST LOOK
OH, THE PLACES YOU’LL GO
BEYOND THE ROOM
INFECTION CONTROL
PRODUCT SPOTLIGHT
THE CENTER
SPECIAL ADVERTISING SECTION
FACE TIME
Healthcare Design - October 2016 - Healthcare Design - October 2016
Healthcare Design - October 2016 - Cover2
Healthcare Design - October 2016 - 1
Healthcare Design - October 2016 - Contenst
Healthcare Design - October 2016 - 3
Healthcare Design - October 2016 - 4
Healthcare Design - October 2016 - 5
Healthcare Design - October 2016 - 6
Healthcare Design - October 2016 - 7
Healthcare Design - October 2016 - EDITORIAL
Healthcare Design - October 2016 - 9
Healthcare Design - October 2016 - SHOW TALK
Healthcare Design - October 2016 - 11
Healthcare Design - October 2016 - 12
Healthcare Design - October 2016 - 13
Healthcare Design - October 2016 - PHOTO TOUR
Healthcare Design - October 2016 - 15
Healthcare Design - October 2016 - 16
Healthcare Design - October 2016 - 17
Healthcare Design - October 2016 - 18
Healthcare Design - October 2016 - 19
Healthcare Design - October 2016 - 20
Healthcare Design - October 2016 - 21
Healthcare Design - October 2016 - 22
Healthcare Design - October 2016 - 23
Healthcare Design - October 2016 - THE SUITE LIFE
Healthcare Design - October 2016 - 25
Healthcare Design - October 2016 - 26
Healthcare Design - October 2016 - 27
Healthcare Design - October 2016 - 28
Healthcare Design - October 2016 - 29
Healthcare Design - October 2016 - FIRST LOOK
Healthcare Design - October 2016 - 31
Healthcare Design - October 2016 - 32
Healthcare Design - October 2016 - 33
Healthcare Design - October 2016 - 34
Healthcare Design - October 2016 - 35
Healthcare Design - October 2016 - OH, THE PLACES YOU’LL GO
Healthcare Design - October 2016 - 37
Healthcare Design - October 2016 - 38
Healthcare Design - October 2016 - 39
Healthcare Design - October 2016 - 40
Healthcare Design - October 2016 - 41
Healthcare Design - October 2016 - 42
Healthcare Design - October 2016 - 43
Healthcare Design - October 2016 - 44
Healthcare Design - October 2016 - 45
Healthcare Design - October 2016 - BEYOND THE ROOM
Healthcare Design - October 2016 - 47
Healthcare Design - October 2016 - 48
Healthcare Design - October 2016 - 49
Healthcare Design - October 2016 - 50
Healthcare Design - October 2016 - 51
Healthcare Design - October 2016 - 52
Healthcare Design - October 2016 - 53
Healthcare Design - October 2016 - 54
Healthcare Design - October 2016 - 55
Healthcare Design - October 2016 - 56
Healthcare Design - October 2016 - 57
Healthcare Design - October 2016 - 58
Healthcare Design - October 2016 - 59
Healthcare Design - October 2016 - INFECTION CONTROL
Healthcare Design - October 2016 - 61
Healthcare Design - October 2016 - 62
Healthcare Design - October 2016 - 63
Healthcare Design - October 2016 - 64
Healthcare Design - October 2016 - 65
Healthcare Design - October 2016 - PRODUCT SPOTLIGHT
Healthcare Design - October 2016 - 67
Healthcare Design - October 2016 - 68
Healthcare Design - October 2016 - 69
Healthcare Design - October 2016 - 70
Healthcare Design - October 2016 - 71
Healthcare Design - October 2016 - THE CENTER
Healthcare Design - October 2016 - 73
Healthcare Design - October 2016 - 74
Healthcare Design - October 2016 - SPECIAL ADVERTISING SECTION
Healthcare Design - October 2016 - 76
Healthcare Design - October 2016 - 77
Healthcare Design - October 2016 - 78
Healthcare Design - October 2016 - 79
Healthcare Design - October 2016 - FACE TIME
Healthcare Design - October 2016 - Cover3
Healthcare Design - October 2016 - Cover4
Healthcare Design - October 2016 - S1
Healthcare Design - October 2016 - S2
Healthcare Design - October 2016 - S3
Healthcare Design - October 2016 - S4
Healthcare Design - October 2016 - S5
Healthcare Design - October 2016 - S6
Healthcare Design - October 2016 - S7
Healthcare Design - October 2016 - S8
Healthcare Design - October 2016 - S9
Healthcare Design - October 2016 - S10
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