Aventura Hospital and Medical Center Emergency Department Expansion - - PowerPoint PPT Presentation

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Aventura Hospital and Medical Center Emergency Department Expansion - - PowerPoint PPT Presentation

Aventura Hospital and Medical Center Emergency Department Expansion Tatiana Acosta | Thayse Darzi | Esperanza Muino FIU Department of Interior Architecture IND 6257 Grad Design 5 Instructor Philip Abbott Midterm Fall 2016 PROGRAMMING


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Aventura Hospital and Medical Center Emergency Department Expansion

Tatiana Acosta | Thayse Darzi | Esperanza Muino

FIU Department of Interior Architecture IND 6257 Grad Design 5 Instructor Philip Abbott Midterm Fall 2016

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ED D KIO KIOSK

The Emergency Department continually strives to advance the patient check-in process with new technologies such as the self-service ED

  • KIOSK. Patients have the option of manually entering in their own

information or scanning their Driver’s License and the reason for their

  • visit. Once their information is entered into the system, the triage nurse

is automatically notified of their arrival

REGIS ISTRATION

The registration clerk will obtain information for your medical record, including billing information. The registration clerk will obtain authorization for treatment from your insurance company. Your being seen and treated by the emergency department physician will not be delayed by the registration process or insurance verification. All patients will be medically screened, evaluated and stabilized regardless of insurance or ability to pay

WAITING ROOM AREA

If you are stable, you may have to wait for a bed to become available. You will, however, be made as comfortable as possible while you wait and the staff will keep you advised as to the status of your visit. A convenient Wait Time Monitor is located in the waiting room which shows approximate wait times for each patient.

TRIA IAGE

Apr

  • Aprox. 260 NSF

NSF

A triage nurse will assess you upon your arrival and will evaluate your chief complaint and vital signs. Your priority of treatment is based on the severity of your illness, as determined by the triage nurse. You will be seen in order of arrival time unless you are determined to be seriously ill or

  • unstable. Patients who are determined to be emergent will be taken to the

treatment area immediately.

RESULT PENDING Apr

Aprox 225 NSF NSF

The Results Room is a small, personal environment where you can be comfortable and get individualized attention. The Low-acuity patients who are unlikely to be admitted can await diagnostic results or be actively monitored by a dedicated nurse, ED rooms and beds may be reserved for higher acuity patients .

CONSULT ROOM Apr

Aprox 290 NSF NSF

Since majority of the patients coming to an ED do not have an emergent problem, they are assessed and treated on outpatient basis in the consultation rooms.

PROGRAMMING QUANTITATIVE PROGRAM

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SLIDE 3

SUB-WAIT App

  • Approx. 500 SNF

SNF

Fast track care, often known as urgent or express care, can be a convenient way to get medical help in under 60 minutes. The room designated for a particular examination to take place. Each room is furnished and stocked in the same way to ensure efficient delivery of care. The room air has to be constantly drawn out and filtered and ventilated outside. This minimizes anything airborne being drafted into other areas of the ED from the room that has a patient who may be contagious.

BE BEHAVIORAL HE HEALTH ROOMS App

  • Approx. 1,205 NSF

NSF

Are rooms for treat patients that need mental health services. There are two designated behavioral health rooms, each designed with the safety of the patient in mind. Each is camera monitored and equipped with furniture designed for safety and a TV encased in plexiglass. A bathroom is provided for patients in this area.

EXAM & TREATMENT ROOMS App

  • Approx. 1,960 NSF

NSF

Nurses stations are decentralized to ensure nurses are close to treatment

  • areas. Four stations form a centrally located square. A medication/supply

room is in the middle of nurses stations to ensure quicker access to these materials. is isolation represents one of several measures that can be taken to implement infection control: the prevention of contagious diseases from being spread from a patient to other patients, health care workers, and visitors, or from outsiders to a particular patient.

NURSES STATIONS App

  • Approx. 1,360 NSF

NSF

The ultrasound room is darkened and has a narrow bed, beside which is a machine with a monitor much like a TV or computer screen. ... When you have the ultrasound examination, the Sonographer (technician who is trained in ultr ultrasound) will spread warm gel on the area to be examined.

ISO ISOLATE ROOM App

  • Approx. 580 NSF

NSF

ULTRASOUND ROOM App

Approx. . 330 NSF NSF

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DI DICT CTATION ROOM App

  • Approx. 190 SNF

SNF

It is a room where physicians, nurses, or other healthcare providers dictate a note in digital audio format to keep track of a patient’s health, history and care. Dictations are then transcribed into a word document by medical transcriptionists and sent back to the physician electronically. The room designated for the storage of medicaments, drugs and medicines to be used on the patient’s treatment.

SUPPORT SPACES

So Soiled Ho Hold 135 NSF NSF C-ar arm Al Alc 50 NSF NSF Nour Nouris ishment 100 NSF NSF AL ALC C Equ quip ipment alc alcoves 75 NSF NSF CT T Sc Scan 535 NSF NSF CT T Co Control

  • l ar

area 100 NSF NSF St Stor

  • rage

250 NSF NSF Ja Janit itor

  • r Cl

Close

  • set

50 NSF NSF Work

  • rk

140 NSF NSF Quie uiet Co Conf. . Roo

  • om

240 NSF NSF Mu Mult lti i wi with th St Stor

  • rage

490 NSF NSF St Staff Loung Lounge & & Loc Lockers 390 NSF NSF Ac Accessib ible le res estrooms fr from

  • m

pub publi lic cor

  • rrid

idor(p (publi lic)x 4 res estroo

  • oms

240 NSF NSF Minimum Tot

  • tal Sq

Squa uare fee eet foo

  • otage

11,77 ,775 NSF NSF

MED’S App

  • Approx. 115 NSF

NSF

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BU BUIL ILDING ANALYSIS IS DIA IAGRAMS

  • LOCATION
  • VIEWS & PARKING
  • SUN, WIND & NOISE

SUN PATH WINTER WINDS SUMMER WINDS SUNLIGHT EXPOSURE POTENTIAL HEAT GAIN

Aven entu tura Ho Hospital l Med edic ical l Ce Center is is loc located at 20900 Bis Biscayne Blv Blvd, Aven entura, Flo lorida

Street Views Surrounding Buildings Selected Building

East Dixie Hwy

Emergenc y Departme nt

Parking Space LOUD NOISE SOURCE MODERATE NOISE SOURCE LOW NOISE SOURCE

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BUIL ILDING ANALYSIS IS DIA IAGRAMS

  • SQUARE FOOTAGE
  • ZONING
  • STRUCTURE

Semi-private Area Private Area Public Area Circulation Area Main Access Access to the Bld. Building Views

Steel Columns Fire Walls Windows Grid Pattern

187’- 6” 89’ – 1” 61’ – 10” 66’ - 4” 22’ - 11” 15’ - 9”

Not in Scope Area Construction Area

  • approx. 21,000 sqft
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BU BUIL ILDING ANALYSIS IS MODEL

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SLIDE 8
  • MATE

TERIA IALITY MODEL

  • COLOR PALE

LETT TTE

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CLIENT PROFILE USE SERS PROFILE

  • History:
  • Aventura Hospital and Medical Center was founded in 1965 as

Golden Isles Hospital in Hallandale Beach. The hospital relocated to its present location in 1974 and was renamed Aventura Hospital and Medical center in 1993. The fully accredited 407-bed acute care facility provides award-winning inpatient and outpatient diagnostic, medical, surgical and cancer services.

  • Owner: Aventura Hospital and Medical Center is owned and
  • perated by Miami Beach Healthcare Group, Ltd.
  • Mis

ission Statement: Devoted to improving the lives we touch through safety, service and excellence.

  • Values:

ICARE — Integrity, Compassion, Accountability, Respect, Excellence Pop

  • pulation fr

from Aven entu tura Whit ite: 90% Bla Black or

  • r Afr

fric ican Americ ican: 3.4 % Asia ian: 1.7% Multi lti – Racia cial: 1% His Hispanic: 35.8% Je Jew: 1.13% Male les: 46.8% Fem emales es: 53.2% Med edia ian Res esid ident Age: 46.4 Years

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ADJACENCY DIA IAGRAMS

  • BUBBLE DIAGRAMS
  • FUNTIONAL DIAGRAM
  • PARTI DIAGRAMS
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SC SCHEMATIC DESIGN CONCEPT STATEMENT

“TOGETHER WE WE CA CAN MAKE THE HE DI DIFFERENCE” Ba Based on

  • n th

the nursin ing th theo eory fr from I.M Kin King in in or

  • rder to

to ach chie ieve th the op

  • pti

timal ED ED practic ice. Our mission is to create an optimal patient experience promoting the continuous in interaction and integration of the healthcare providers and the patients in the Emergency Department. By using what we refer to as “TOGETHER WE WE CAN MAKE THE DIFFERENCE”, we illustrate the power of teamwork making the difference in every patient’s health. We aim to promote positive PERCE CEPTION, REACT CTION, ORGANIZATION & IN INTERACTION in a social exchange and among all users in this Emergency Department. “We We will ill make th the dif ifference build ilding a succe ccessful and mem emorable exp xperie ience for both

  • th th

the patien tients and th the ED ED staff”

DESIGN GUIDANCE

 To rethink the relationship the ED has to the rest of the hospital.  To Improve Patient Flow and Crowding.  To

  • support

t dir irect patie tient care. The ED D patien tient has to

  • be

e defin fined ed as an in indiv ivid idual and uniq ique per erson not

  • t as a daily

ily 'ide 'identit ity'.(I.M. Kin King Nurse Theo eory ry)  Privacy & personal territory.  Efficiency and decentralization.  To plan spaces and program elements that will improve operational efficiencies, and the overall patient and family experience.  Space planning issues related to staff and patient safety, privacy & personal spaces.  To Improve work environment designing spaces taking in consideration, light, color, materials, furnishing and finishes.  Noise Reduction

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PERSPECTIVES

MAIN ENTRANCE RECEPTION AREA ER WAITING AREA SUB WAIT

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PERSPECTIVES

NURSE STATION EXAMINATION ROOM PSYCH EXAMINATION ROOM ULTRASOUND ROOM

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PERSPECTIVES

TRIAGE ROOM SOCIAL AREA

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MATERIALITY BOARD

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TATIANA ACOSTA PERPECTIVES

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TATIANA ACOSTA PERPECTIVES

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MATERIALITY BOARD

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PERSPECTIVES

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MATERIALITY BOARD

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THANK YOU!