Healthcare Design - December 2013 - 54

EFORE

REMODEL/RENOVATION - NURSES' STATIONS

New Adult Emergency Environment of Care
New Haven, CT

BEFORE

BEFORE

Why did you decide to renovate?
Volume was exceeding the space
available for additional treatment
spaces, so additional space was
added (20,000 square feet) and the existing space renovated (32,000 square
feet) to allow the most efficient overall
layout possible.
What were your objectives and
were they achieved? The objectives were to seamlessly combine the
new and renovated spaces to clarify
circulation, creating an open clinical
core that would allow for better staff
observation of patients and improved
visual and verbal communication between staff; limit the height of equipment and supply carts in the open
clinical core to support the physical
layout; and increase patient safety and
satisfaction, with the patients directly
visible to the open clinical core. Yes,
we believe that we did achieve these
goals, and that has been corroborated
by the users and staff.
How were family, patients,
and/or staff involved in the process?
They were part of our Environment of
Care work groups (concepts, people,
systems, layout/operations, physical environment, and implementation). These
work groups informed the Interdisciplinary Design Team that developed options

How has the design impacted
family, patients, and/or staff? Families and patients have more direct visibility and access to staff. This reduces
family and patient stress and creates a
more interactive relationship between
family, patient, and caregivers. Staff
has the ability to visually monitor
activity levels throughout the unit to
see where additional attention may be
required. A low-walled/glazed consult
area in the middle of the unit, part
of the care center, allows for private
consult space without compromising
the openness of the unit.
Did you encounter any challenges along the way, and if so, how
were they minimized or resolved?
The challenges included creating
interdisciplinary work groups to assure
the coordination required between all
of the ancillary support activities to be
able to successfully implement our design. This challenge was addressed by
including security, materials management, linen, environmental services,
pharmacy, laboratory, religious ministries, volunteer services, diagnostic
imaging, information technology,
registration, administration, physicians, nurses, technicians, financial
services, family, and patients in all our
work groups, and by appropriately in-

to be considered for the new design.

corporating their feedback to get their

Architectural Basic Services, Programming, Conceptual Design: Salvatore Associates; Interior Design Basic
Services: CAMA, Inc.; Visioning: Salvatore Associates, CAMA, Inc.; Evidence-Based Design Process: Salvatore
Associates, CAMA, Inc.; Mechanical, Electrical and Plumbing and Fire Protection Engineering: WSP, Flack and
Kurtz; Construction Management and Contracting: Turner Construction; Landscape Architecture: The Landworks
Collaborative; Civil Engineering: Tighe & Bond; Doors: Stanley; Lighting: Lightolier, Mark Architectural Lighting;
Interior Walls, Shaft Walls & Soffits: National Gypsum, USG Ramset, Marino, Ware Trim Accessories; Paint: Benjamin
Moore; Flooring: nora Rubber Flooring; Wall Base and Transition Strip: Johnsonite; Acoustical Ceiling Tile,
Acoustical Ceiling White Grid, Vinyl Ceiling Tile: Armstrong; Counters: Dupont; Plastic Laminate: Wilsonart; Resin
Panel: 3FORM Resin; Glass Panel: Jackimo Glass; Cubicle Curtains: InPro, Architex; Wall Panel, Wall Rails and
Corner Guard Protection: Acrovyn; Window Covering: Mechoshade; Chairs: Steel Case; Chair Fabric: CF Stinson;
Photography Credit: © Rick Scanlan.

54 Supplement to Healthcare Designt
BEFORE

buy-in to achieve the shared goals
of the project. The various systems
they proposed would be reviewed
against the previously agreed-to goals
and objectives, and if they were met,
those systems would be approved.
Examples: height of pyxis units; height
of linen carts; location of pneumatic
tube stations; alcove locations for ultrasound machines; type, quantity, and
location of monitors and equipment;
patient tracking display monitors; etc.
Another challenge was to create an
open clinical core with care centers
that were welcoming, accessible, built
with natural easily maintained materials, and detailed to withstand the level
of traffic that this area will experience.
This challenge was met by using
solid natural maple as the field material. The maple was accented with
stainless steel corners, striping, and
bumper guards in locations known to
experience the most wear, to enhance
the beauty and longevity of the design.
Solid surface transaction counters
and worktops were also used. Another
important detail was that other than
accent or task lighting, all of the lighting in the open clinical core is indirect
to support the noninstitutional feeling
of the unit.

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Healthcare Design - December 2013

Table of Contents for the Digital Edition of Healthcare Design - December 2013
