Adaptable Room Design for a Critical Access Hospital

Adaptable Room Design for a Critical Access Hospital Elizabeth Salmon Elizabeth Copenhaver Marti Chance Kelsey Hoffman Group 15

Memorial Hospital Carthage, Illinois Founded in 1950 ¡ 8 physicians, 3 physician’s assistants ¡ In need of renovation ¡ Today Future

Hart Freeland Roberts ¡ Established 1920 and oldest practicing firm in TN ¡ Full-service architectural and engineering design firm ¡ Noteworthy designs: l l l The Parthenon Valley View Hospital St. Thomas Hospital VA Hospital Nashville Public Library

Goals for Project Design ¡ ¡ ¡ Research required elements of patient room Gain understanding of user preferences Develop space program for inpatient room 3 D computer simulation of patient room layout Create 3 D walkthrough of patient room

The Big Issues ¡ Private or Semi-Private l ¡ Inpatient Philosophy of Care: l l ¡ AIA Hospital Code 3. 1. 1 Category of Patient (Nine potential departments) Monitoring techniques within room Universal Room vs. Identical/Adaptable Room Patient-Focused Models Room Concepts: l l Inboard/Outboard Toilets Hallway Use and Nurse Access Room Size and Family Access plus Overnight Stay Color scheme and artwork

Design Constraints and Limitations ¡ Financial budget: l ¡ Community Considerations l l l ¡ ~$280 per square foot Rural community Aging population Small hospital staff Hospital Codes l l American Institute of Architects Americans with Disabilities Act

Hospital Codes Examples ¡ ¡ Windows no less than 7. 5% of total floor space Minimum width for doors for access l l ¡ Grab bars l l l ¡ In patient’s toilets, showers, tubs, and sitz baths 1. 5’’ clearance to walls Withstand 250 pounds Minimum room areas: l ¡ beds/stretchers: 3’ 8” wheelchairs = 2’ 10” 120 square feet clear in one-bed rooms Air into patient rooms must be filtered to 90% efficiency

Resources ¡ Insight from architectural professionals l l l Scott Corbin, HFR Kansas City Todd Robinson, Earl Swensson Architects Al Thweatt, Gresham Smith & Partners ¡ Literature ¡ Healthcare Insight l Nursing: questionnaire for hospitals in West Virginia and Carthage, Ill ¡ Patient Opinions ¡ Hospital room tours l l The Medical Center in Franklin (KY) Vanderbilt Medical Center East

Specialized Areas of Room Patient ¡ Nurse Station and Work Area ¡ Family Seating ¡ Overnight Sleeping Arrangements ¡ Bathroom ¡

Bathroom Location Centralized Toilet = Longer Hallway

Bathroom Location Outboard Toilet

Bathroom Location Inboard Toilet

Selection of Toilet Placement: Evaluation Chart Inboard Outboard Centralized Weigh t Value Produc t Size of Family Area 5 4 20 2 10 5 25 Window Size 3 4 12 3 9 5 15 Sightline Into room 2 2 4 4 8 3 6 Nurse Station Size 3 3 9 4 12 5 15 Hallway Length 5 5 25 1 5 Patient Area 5 5 25 Total Produc t Value 95 Valu Produc e t 89 91

Color Schemes peach Light Green coral rose Tranquil Aqua pale gold

Artwork ¡ www. oliverargallery. com Peaceful designs to make the room feel more comfortable for patients

Proposed Model #1 Family Area Patient Area Nurses Area Bathroom

Proposed Model #2 Family Area Patient Area Nurses Area Bathroom