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 QUANTITATIVE PROGRAM ED D KIO KIOSK REGIS ISTRATION The Emergency Department continually strives to advance the patient The registration clerk will obtain information for your medical record, check-in process with new technologies such as the self-service ED including billing information. The registration clerk will obtain authorization KIOSK. Patients have the option of manually entering in their own for treatment from your insurance company. Your being seen and treated information or scanning their Driver’s License and the reason for their by the emergency department physician will not be delayed by the visit. Once their information is entered into the system, the triage nurse registration process or insurance verification. All patients will be medically is automatically notified of their arrival screened, evaluated and stabilized regardless of insurance or ability to pay TRIA IAGE Apr Aprox. 260 NSF NSF WAITING ROOM AREA A triage nurse will assess you upon your arrival and will evaluate your chief If you are stable, you may have to wait for a bed to become available. complaint and vital signs. Your priority of treatment is based on the You will, however, be made as comfortable as possible while you wait severity of your illness, as determined by the triage nurse. You will be seen and the staff will keep you advised as to the status of your visit. A in order of arrival time unless you are determined to be seriously ill or convenient Wait Time Monitor is located in the waiting room which unstable. Patients who are determined to be emergent will be taken to the shows approximate wait times for each patient. treatment area immediately. RESULT PENDING Apr Aprox 225 NSF NSF CONSULT ROOM Apr Aprox 290 NSF NSF The Results Room is a small, personal environment where you can be comfortable and get individualized attention. The Low-acuity patients Since majority of the patients coming to an ED do not have an emergent who are unlikely to be admitted can await diagnostic results or be problem, they are assessed and treated on outpatient basis in the actively monitored by a dedicated nurse, ED rooms and beds may be consultation rooms. reserved for higher acuity patients .
SUB-WAIT App BE BEHAVIORAL HE HEALTH ROOMS App Approx. 500 SNF SNF Approx. 1,205 NSF NSF Are rooms for treat patients that need mental health services. There are Fast track care, often known as urgent or express care, can be a convenient two designated behavioral health rooms, each designed with the safety of way to get medical help in under 60 minutes. 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 App Approx. 1,360 NSF NSF The room designated for a particular examination to take place. Each Nurses stations are decentralized to ensure nurses are close to treatment room is furnished and stocked in the same way to ensure efficient areas. Four stations form a centrally located square. A medication/supply delivery of care. The room air has to be constantly drawn out and filtered room is in the middle of nurses stations to ensure quicker access to these and ventilated outside. This minimizes anything airborne being drafted materials. into other areas of the ED from the room that has a patient who may be contagious. ULTRASOUND ROOM App Approx. . 330 NSF NSF ISO ISOLATE ROOM App Approx. 580 NSF NSF isolation represents one of several measures that can be taken to is The ultrasound room is darkened and has a narrow bed, beside which is a implement infection control: the prevention of contagious diseases from machine with a monitor much like a TV or computer screen. ... When you being spread from a patient to other patients, health care workers, and have the ultrasound examination, the Sonographer (technician who is visitors, or from outsiders to a particular patient. trained in ultr ultrasound) will spread warm gel on the area to be examined.
SUPPORT SPACES Soiled Ho So Hold 135 NSF NSF C-ar arm Al Alc 50 NSF NSF Nouris Nour 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 ol ar area 100 NSF NSF DI DICT CTATION ROOM App Stor St orage 250 NSF NSF Approx. 190 SNF SNF Janit Ja itor or Cl Close oset 50 NSF NSF Work ork 140 NSF NSF It is a room where physicians, nurses, or other healthcare providers Quie uiet Co Conf. . Roo oom 240 NSF NSF dictate a note in digital audio format to keep track of a patient’s health, Mu Mult lti i wi with th St Stor orage 490 NSF NSF history and care. Dictations are then transcribed into a word document St Staff Loung Lounge & & Loc Lockers 390 NSF NSF by medical transcriptionists and sent back to the physician electronically. Ac Accessib ible le res estrooms fr from om pub publi lic cor orrid idor(p (publi lic)x 4 res estroo ooms 240 NSF NSF Minimum Tot otal Sq Squa uare fee eet foo ootage 11,77 ,775 NSF NSF MED’S App Approx. 115 NSF NSF The room designated for the storage of medicaments, drugs and medicines to be used on the patient’s treatment.
BUIL BU ILDING ANALYSIS IS DIA IAGRAMS • LOCATION • VIEWS & PARKING • SUN, WIND & NOISE 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 Emergenc y Departme nt East Dixie Hwy SUN PATH Street Views Selected Building Parking Space SUNLIGHT EXPOSURE Surrounding Buildings SUMMER WINDS POTENTIAL HEAT GAIN WINTER WINDS LOW NOISE SOURCE MODERATE NOISE SOURCE LOUD NOISE SOURCE
BUIL ILDING ANALYSIS IS DIA IAGRAMS 187’ - 6” • SQUARE FOOTAGE • ZONING 89’ – 1” • STRUCTURE 66’ - 4” 61’ – 10” Construction Area approx. 21,000 sqft 15’ - 9” 22’ - 11” Not in Scope Area Private Area Main Access Semi-private Area Grid Pattern Steel Columns Access to the Public Area Bld. Building Views Fire Walls Circulation Area Windows
BU BUIL ILDING ANALYSIS IS MODEL
• MATE TERIA IALITY MODEL • COLOR PALE LETT TTE
CLIENT PROFILE USE SERS PROFILE Pop opulation fr from Aven entu tura Whit ite: 90% Bla Black or or Afr fric ican Americ ican: 3.4 % Asia ian: 1.7% Multi lti – Racia cial: 1% • His Hispanic: 35.8% History: • Je Jew: 1.13% Aventura Hospital and Medical Center was founded in 1965 as Golden Isles Hospital in Hallandale Beach. The hospital Male les: 46.8% relocated to its present location in 1974 and was renamed Fem emales es: 53.2% Aventura Hospital and Medical center in 1993. The fully accredited 407-bed acute care facility provides award-winning Med edia ian Res esid ident Age: 46.4 Years inpatient and outpatient diagnostic, medical, surgical and cancer services. • Owner: Aventura Hospital and Medical Center is owned and operated 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
ADJACENCY DIA IAGRAMS • BUBBLE DIAGRAMS • FUNTIONAL DIAGRAM • PARTI DIAGRAMS
SC SCHEMATIC DESIGN CONCEPT STATEMENT “TOGETHER WE WE CA CAN MAKE THE HE DI DIFFERENCE ” Ba Based on on th the nursin ing th theo eory fr from I.M Kin King in in or order to to ach chie ieve th the op opti 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 oth 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 o support t dir irect patie tient care. The ED D patien tient has to o be e defin fined ed as an in indiv ivid idual and uniq ique per erson not ot 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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