HEALTHCARE PROJECT DESIGN BOOKLET

DESIGN BOOK STUDIO IV BY ALINA KRASOVSKAYA

SERENITY

MODERN APPROACH TO A HEALTHCARE DESIGN

TABLE OF CONTENTS Client Profile..........................................Page 1 Precedent Study Number One......Page 2 Precedent Study Number Two.......Page 3 Negative Associations.....................Page 4 Positive Associations........................Page 5 Project Stakeholders.......................Pages 6-7 Location Information..........................Page 8 Suite Specifications..............................Page 9 Program Matrix...................................Page 10 Adjacency Matrix................................Page11 Design Goals....................................... Page12 Design Concept..................................Page13 Diagrams Option One........................Page 14 Diagrams Option Two.........................Page 15 Planning Diagrams........................Pages 16-17 Floor Plan...............................................Pag 18 Reflected Ceiling Plan........................Page 19 Kids Waiting Elevation, FF&E........Pages 20-21 Kitchen Elevation, FF&E..............Pages 23-23 Lobby Perspective, FF&E.............Pages 24-25 Waiting Area Perspective, FF&E...Pages 26-27 Exam Room Axon...............................Page 28 Exam Room Elevation.......................Page 29 Millwork.........................................Pages 30-31 FF&E.....................................................Page 32 Special Features.................................Page 33

CLIENT PROFILE Specialties Family Medicine Certifications AB Family Medicine Education2004, East Tennessee State University Quillen College of Medicine, Medical School Residency2007, North Colorado Family Medicine Language English

Meet Dr. Matthew Standridge Dr. Matthew Standridge grew up in Rural East Tennessee on an organic farm, but it was an area without much in the way of healthcare. From early on he knew he wanted to be a doctor and the specialty of family medicine. Dr. Standridge thinks family physicians have a unique role in their patients’ lives: “Family physicians are the front line of American healthcare.”

In medical school he did a rural training track and pursued my residency in Colorado at a site that historically trains physicians to be in rural and underresourced areas. Before joining TMH Physician Partners - SouthWood, he have had an exciting career ranging from Rural North Carolina to Inner City Chicago and before starting in SouthWood, he worked at the TMH Physician Partners - Wakulla location for 6 years. He loves to cook, run, read and be on the water fishing or sailing. But most of all he enjoy spending time with his wife, Dana and four children: Claire, Ben, Laurel and Rowan.

1

BIOPHILIC DESIGN FOR BEHAVIORAL HEALTH • • • •

Designers: Year Completed: Size: Location:

ZGF Architects March 2016 15,605sf Seattle

GOALS To provide patients with most soothing, calming biophilic environment that is visually interesting.

STUDY SUMMARY

The Swedish Ballard Behavioral Health Unit in Seattle was designed to make patients feel connected to nature not trough literal integration of greenery or imagery of greenery, but by association with nature. Numerous studies have shown our brain will intuitively pick up on visual cues that resemble natural settings in details such as patterns, textures and layouts. In the example above, the abstraction of the verticality and the rhythm is meant to be associated with trees. The color going from dark to light is meant to be associated with going from dark ground to light sky to make patients subconsciously feel like they are in nature. This strategies have been showing positive responses.

Use of color associated with nature going from dark to light

• • • • 2 Incorporation of textures associated with nature

Circadian lighting strategy to help promote healing

DESIGN IMPLICATIONS Use of textures that would resemble nature for overall positive atmosphere Use of colors and forms associated with nature to help visitors feel connected Use of patterns resembling those found in nature Incorporation different temperature lighting to imitate natural changes of light throughout the day

NELSON HOUSE • • • •

Designers: Year Completed: Size: Location:

Gilling Dod Architects March 2012 10,115sf Gosport, Hampshire

GOALS To provide patients with the environment where the feel at home as opposed to healthcare facility.

STUDY SUMMARY The Nelson House, is a healthcare facility/rehabilitation Hospital for men 18-65 suffering from mental health problems. Men that do get admitted here are there to get assistance through therapy and targeted activities to help them to be reunited with the community. Taking all of the factors into consideration, during the schematic design phase the team decided to provide patients with interiors with more of a hospitality or even a home-like feel. After additional research and careful consideration, they chose a beach theme to provide the most soothing, comfortable atmosphere for the most successful recovery of the patients.

Nelson House Dinning Hall

• • • • •

DESIGN IMPLICATIONS Use of artwork for visual impact Use of bold colors through accessories Use of organic and geometric shapes to provide positive distractions Use of finishes with residential aesthetics Incorporate imagery of nature to help patients feel connected to help with recovery

Nelson House Bedroom

Nelson House Entertainment Area

3

NEGATIVE ASSOCIATIONS PATIENT’S PERSPECTIVE

noise

confusion darkness • • • • •

4

vulnerability

•

DESIGN IMPLICATIONS Provide comfortable furniture to reduce stress while waiting Provide adequate amount of light to avoid dark depressing atmosphere Provide clear way-finding to avoid the confusion Provide noise canceling acoustical elements to reduce irritation and stress Provide spa-like atmosphere by implementing water feature and biophilic elements Incorporate architectural lighting features to hide direct light sources and provide visual interest

POSITIVE ASSOCIATIONS PATIENT’S PERSPECTIVE positively distracting

soothing

• • • • • •

DESIGN IMPLICATIONS Provide colorful artwork for visual impact and positive distractions Incorporate bold/vivid colors through accessories to provide less sterile, hospital-like atmosphere Use fun shaped furniture in play areas for kids to provide positive distractions and playful environment Use finishes that have a residential aesthetic to make the space feel less like a medical facility Incorporate imagery of nature to promote healing Incorporate biophilia to promote healing

calm

fun 5

PROJECT STAKEHOLDERS Physicians and Nurse Practitioners • • • •

Age: late 20s-65 Demeanor: stressed, health-oriented, service-oriented Socioeconomic Status: upper -middle class Physical Health: high stress on knees, joints and back, mental exhaustion, fatigue • Fine and Gross Motor Skills: strong

Office Manager/Administrative • Age: late 20s-65 • Demeanor: moderate level of stressed, health oriented, service oriented, detail oriented • Socioeconomic Status: middle class • Physical Health: stress on eyes, fatigue • Fine and Gross Motor Skills: strong

• • Pharmaceutical Representatives • Age: late 20s-65 • Demeanor: communicative, pressed for time, medium level of stress, motivated, outgoing • Socioeconomic Status: greatly varies • Physical Health: varies, but typically in good condition • Fine and Gross Motor Skills: may vary

6

• • • • •

DESIGN IMPLICATIONS Provide private areas for rest and refuge for employees to be able to recharge Provide padded mats to relieve pressure from standing a lot Provide storage for employees to keep some of their personal belongings Provide adaptable exam rooms Provide touchdown spaces for pharmaceutical representatives to present their product Provide adequate way-finding to avoid confusion Provide comfortable seating to accommodate employees need for comfort during long shifts

PROJECT STAKEHOLDERS Patients • Age: infant to 100 • Demeanor: stressed, confused, in need of a peaceful environment, vulnerable • Socioeconomic Status: Varies • Physical Health: varies from tolerable condition to chronic, non life-threatening • Fine and Gross Motor Skills: Varies

Family/Caregivers

• • • • • • •

DESIGN IMPLICATIONS Provide adequate lighting to provide best working conditions Provide storage for patients and caregivers for personal belongings Provide calming comfortable environment to reduce stress Provide positive distractions and stimulation to distract patients from a real reason for the visit Provide lockable storage for maintenance staff for their personal belongings Provide mop sink Provide equipment storage

• • • • •

Age: varies Demeanor: could be stressed, supportive Socioeconomic Status: varies Physical Health: varies Fine and Gross Motor Skills: varies

Custodial/Maintenance Staff • • • • •

Age: 18 and over Demeanor: private, friendly, dependable Socioeconomic Status: middle to lower Physical Health: high stress on knees, joints, back, Fine and Gross Motor Skills: strong

7

PROJECT SITE .

.

KEY

PARKING

STAFF ENTRANCE PARKING

MAIN ENTRANCE MAIN ENTRANCE MAIN ENTRY ROAD

EMPLOYEE ENTRANCE

Satellite view of a Southwood Medical Clinic

LOCATION SUMMARY

Southwood clinic is located in Tallahassee, Florida: a climate know for its humidity during summer, fall and spring and dry cold weather during the winter months. Since the suite faces east it will receive morning light, and less solar gain from hot, afternoon sunlight. Building has two separate entrance, one for employees and one for visitors. Parking lot is conveniently located near the visitors entrance, which will help with way-finding. Southwood Clinic is considered to be Physician Partners of Tallahassee Memorial Hospital

DESIGN IMPLICATIONS

8 Outside view of the Southwood Clinic

• Since the suite faces east it will receive morning light, use window treatments to minimize glare in the morning.

• Provide insulation, central cooling and heating ans well as dehumidifier to insure stable humidity levels on the inside • Provide more outside signs for better way-finding from the parking lot to visitor entry • The new interior will resemble the aesthetics of Tallahassee Memorial Hospital standards

.

SUIT SPECIFICATIONS Section 304.2

Business Group B

Outside of Scope of Work

Clinic outpatient, indicates building used to provide medical care on less than a 24-hour basis to persons who are not rendered incapable of self-preservation by the services provided.

Section1004.1.2 Occupant load factor for 3,659 Sq. Ft. is 100 gross, 37 Sq. Ft. per person 3696/100=37occupants

Previous Suit 4234 SQ. FT

Staff Entry

Section1006.3.1 Minimum of two exits Section1017.2

Exit travel distance is a maximum of 300 Ft.

Section1020.2

Egress width is a minimum of 36

Section1020.4

Dead end corridor is maximum 50 Ft.

W

Check-in 1037 SQ. FT

Within Scope of Work

Visitor Entry

M New Suit 3,659 SQ. FT

N

SUITE SUMMARY

Southwood Clinic is in need of a well planned and designed space to accommodate fifteen employees and roughly twenty two-twenty five patients on the daily basis. Suite renovation will include twelve exam rooms, four administrative offices, check-in area, nurse station, two enlarged waiting rooms, enlarged break room, adequate storage for medical supplies, and laboratory space. This changes to the space will be made with safety and code regulations compliance for maximum safety in case of unlikely emergency.

DESIGN IMPLICATIONS • Provide seating to comfortably fit 20 plus individuals • Provide corridors wide enough to comply with egress code requirements • Provide clear ample signage for easy way finding in case of emergency • To ensure efficient circulation and provide for the safety of the building occupants, dead end corridors should be no longer than 50’-0”

Current Waiting Area

Current Break Room

9

ROOM NAME

SQ FT

LOBBY

350

USES Patient check-in

WAITING ROOM

980

Waiting, staff meetings

PHYSICIAN OFFICE (3)

110

For doctors use outside of meeting with patients

NURSE STATION

250

Working with patients, nurse duties, paperwork

2 CHECK-IN STATIONS

30

Pr-examination prior to meeting with the doctor

12 EXAM ROOMS

110

Patient examination, minor procedures

2 SPECIMEN RESTROOMS

50

2 STAFF RESTROOMS

60

BREAK ROOM

230

MEDICAL RECORDS STORAGE

60

MEDICINE STORAGE

35

MEDICINE SAMPLES

40

Centralized desk, 4 task chairs, file cabinets, transaction counter

ELECTRICAL Computers, printers, phone/ fax,display monitor, data ports, outlets, ethernet

TV/monitor, outlets, tablets Seating for 25-30, side tables, book shelving, for self check-in/medical coffee table, kids area with positive distractions. forms

LIGHTING Overhead, architectural, task and decorative lighting, LED Overhead, architectural, decorative and natural lighting, LED

NOTES Way-finding, color coding, briddle.

Sick and well areas, need acoustical separation

Adjustable writing desk, task chair, file cabinets, Computer, phone, outlets, landline guest chair Computer, phone, outlets, Adjustable writing desks, 4 task chairs, file landline, copier cabinets

Overhead, natural and task lighting

Side table, blood pressure equipment, scale, chair Exam table, 2 chairs, physician chair with wheels casework including upper and lower cabinets, sink

Outlet

Overhead lighting

GFI outlet, 3 outlets, landline

Overhead and task lighting

Non-diagonal layout will allow for more space, need acoustical separation.

Specimen collection

Toilet, sink, mirror, grab bars, trash bins

GFI outlet

Overhead lighting

Has to be adjacent to the lab, soap, towels, dryer, ADA sink

Staff use only

Toilet, sink, mirror, grab bars,trash bins

GFI outlet

Overhead lighting

GFI outlet, 3 outlets

Overhead, natural and decorative lighting

Outlet

Overhead lighting

Authorized access only, key pad Authorized access only, key pad

Refuge space for privacy, Dining table and chairs, small sofa, coffee maker, microwave, toaster, refrigerator eating, resting space for staff members only Filing cabinets and open shelving To store patients medical files Lockable cabinets, and refrigerator to store vaccines, sink

GFI outlet

Overhead lighting

For new medicine

Lockable cabinets or a closet

Outlet

Overhead lighting

110

NEW ELECTRICAL ROOM

85

Electrical panel

NEW SERVER ROOM

73

Service panel

GENERAL STORAGE LAB BLOOD DRAW AREA

40 50 50

Office and med. supplies

SOILED ROOM STORAGE

55

Office tasks

Draw blood

Adjustable writing desk, task chair, file cabinets, GFI outlet, three outlets, landline guest chair

Windows, need acoustical separation

Overhead and task lighting

To store medicine, shots and vaccinations

OFFICE MANAGER OFFICE

10

FURNITURE REQUIREMENTS

Overhead, natural and task lighting

Authorized access only, key pad Windows

Overhead lighting Overhead lighting

Lockable cabinets, and refrigerator Two large chairs

Outlet, GFI GFI outlet Outlet

Overhead lighting Overhead lighting Overhead lighting

Mop sink Has to be adjacent to the specimen collection Close to the lab and specimen collection

GFI outlet

Overhead lighting

Laundry and sanitation, sink, storage for clean goods, flusher/disinfector

ADJACENCY MATRIX

ENTRANCE LOBBY WAITING ROOM PHYSICIAN OFFICE (3) NURSE STATION 2 CHECK-IN STATIONS 12 EXAM ROOMS 2 SPECIMEN RESTROOMS 2 STAFF RESTROOMS BREAK ROOM MEDICAL RECORDS STORAGE MEDICINE STORAGE MEDICINE SAMPLES OFFICE MANAGER OFFICE NEW ELECTRICAL ROOM NEW SERVER ROOM GENERAL STORAGE LAB

DESIGN IMPLICATIONS • Provide lockable medicine storage near the nurse station • Keep staff spaces away from public areas • Locate specimen restroom near the lab and specimen storage to avoid transporting samples through the clinic • Keep exam rooms at a good eyesight from nurse station to make sure no one is forgotten and in case of assistance is needed • Locate lobby, nurse station and the waiting room in a close proximity to avoid confusion

BLOOD DRAW AREA SOILED STORAGE ROOM

ADJACENT CLOSE PROXIMITY NOT ADJACENT

11

GOALS Based on the research that was conducted during the schematic phase and its findings, it was determined that stressful environments could worsen existing conditions and impact patients and employees in a negative way. Goals for the design of Southwood Medical Center include: • Create a soothing, calming environment through the incorporation of biophilia and imagery of nature to create a spa-like atmosphere • Use finishes that possess anti-microbial properties, however, aesthetically do not reflect stereotypical sterile appearance of finishes used in medical facilities.

• Provide patients and employees with a comfortable level of lighting through use of natural, decorative, architectural and task lighting.

12

mind

SERENITY Predesign research suggests that stressful environments negatively impact both, patients and care providers. Numerous studies suggest true healing starts from within and stress weakens the immune system, making patients more prone to illness, so avoiding stress is critical in human health. Design is the new frontier of environmental health, as such goals for this project are to create a place of healing and eliminate stress.

The design of the Southwood Medical clinic will promote healing and reduce stress through a holistic, almost spa-like environment. The design will incorporate elements of biophilia to help patients feel connected to nature, which has been shown to have a positive effect on healing. Art and accessories featuring vibrant colors will offer visual stimulation and positive distraction. A combination of soothing, natural and soft, artificial lighting will also be an important part of the design providing patient with an adequate, but not overwhelming amount of light. Use of architectural elements, decorative fixtures and creative lighting solutions will make the space feel more inviting and less like a stereotypical, sterile healthcare facility.

CONCEPT

body

soul

13

BUBBLE AND BLOCKING DIAGRAMS OPTION 1

KEY LOBBY RR

MS MT

RR

NURSE STATION

RR BREAK ROOM

ADMIN

MT

ADMIN

ADMIN

ADMIN

EXAM ROOM

WAITING AREA

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

LAB

EXAM ROOM

LAB RR

LAB

EXAM ROOM

MS

RR

GS

PUBLIC

STAFF ONLY

LAB EXAM ROOM

RR

EXAM ROOM

PATIENTS

EXAM ROOM

EXAM ROOM

EXAM ROOM

WAITING AREA 2

PROS 1. Two separate waiting rooms

LOBBY/RECEPTION

NURSE STATION

STAFF RR WOMEN RESTROOM

SERVER

MEN RESTROOM BREAK ROOM

OFFICE MANAGER

ELECTRIC

STAFF RR

STORAGE

2. Most offices are on the window wall 3. Staff space is separate from public

LAB

WAITING ROOM 1

EXAM ROOM 10

MEDICAL SUPPLIES

4.Large break room

LAB

EXAM

LAB

RESTROOM RESTROOM ROOM 11

EXAM ROOM 12

STORAGE

CONS 1. Narrow hallways

PHYSICIAN OFFICE 1

14

PHYSICIAN OFFICE 2

PHYSICIAN OFFICE 3

EXAM ROOM 1

EXAM ROOM 2

EXAM ROOM 3

EXAM ROOM 4

EXAM ROOM 5

EXAM ROOM 6

EXAM ROOM 7

EXAM ROOM 8

EXAM ROOM 9

WAITING ROOM 2

2. Exam rooms are small 3. Small restrooms

BUBBLE AND BLOCKING DIAGRAMS OPTION 1

KEY LOBBY PUBLIC

STAFF ONLY

MS RR

MT

EXAM ROOM

RR

RR

MT

RR

EXAM ROOM

NURSE STATION WAITING AREA

MS

RR

GS

LR LR

ADMIN

ADMIN

ADMIN

PATIENTS

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

EXAM ROOM

LR

BREAK ROOM

RR

ADMIN

PROS 1. Public and staff are separate

LOBBY/RECEPTION

2. Most exam rooms are on the window wall MEDICAL RECORDS

3. Space has good alignment and flow

MEN RESTROOM

WOMEN RESTROOM

EXAM ROOM 12

SERVER

RESTROOM

SP

SOILED ROOM STORAGE

STAFF RR

ELECTRIC

4. Large break room with a window CONS

MEDICAL SUPPLIES

RESTROOM

EXAM ROOM 11

EXAM ROOM 5

EXAM ROOM 6

LAB

WAITING ROOM 1

NURSE STATION

LAB

EXAM ROOM 10

BLOOD DRAW

OFFICE MANAGER

PHYSICIAN OFFICE 1

PHYSICIAN OFFICE 2

BREAK ROOM

STAFF RR

PHYSICIAN OFFICE 3

STORAGE

1. Only one waiting room 2. Exam rooms are small 3. Small restrooms

EXAM ROOM 1

EXAM ROOM 2

EXAM ROOM 3

EXAM ROOM 4

EXAM ROOM 7

EXAM ROOM 8

EXAM ROOM 9

15

PLANNING DIAGRAMS CIRCULATION KEY LOBBY/RECEPTION

PATIENT MAJOR PATH SERVER MEN RESTROOM

ELECTRIC

WOMEN RESTROOM

EXAM ROOM 12 BREAK ROOM

STORAGE

STAFF RR

MEDICINE STORAGE

NURSE STATION

EXAM ROOM 11

WAITING ROOM 1

LAB

LAB

EXAM ROOM 7

STAFF RR

EXAM ROOM 10

EXAM ROOM 8

PATIENTS PATIENTS RR RR

EXAM ROOM 9

STAFF MAJOR PATH

PATIENTS MINOR PATH STAFF MINOR PATH

PHYSICIAN OFFICE 1

PHYSICIAN OFFICE 2

PHYSICIAN OFFICE 3

OFFICE MANAGER

STORAGE

EXAM ROOM 1

EXAM ROOM 2

EXAM ROOM 3

EXAM ROOM 4

EXAM ROOM 5

EXAM ROOM 6

WAITING ROOM 2

ZONING WITH ATMOSPHERICS

KEY SPACE TO FOCUS 1. In this areas people are meant to focus and are in need of quiet, well lit space. Acoustical panels and insulation were provided to accommodate that need as well as task, overhead and natural lighting.

LOBBY/RECEPTION

SERVER MEN RESTROOM

WOMEN RESTROOM

EXAM ROOM 12 BREAK ROOM

STORAGE

PHYSICIAN OFFICE 1

16

ELECTRIC

STAFF RR

PHYSICIAN OFFICE 2

MEDICINE STORAGE

NURSE STATION

WAITING ROOM 1

OFFICE MANAGER

STORAGE

EXAM ROOM 1

EXAM ROOM 2

LAB

LAB

EXAM ROOM 7

STAFF RR

PHYSICIAN OFFICE 3

EXAM ROOM 11

EXAM ROOM 10

EXAM ROOM 3

EXAM ROOM 8

EXAM ROOM 4

PATIENTS PATIENTS RR RR

EXAM ROOM 5

EXAM ROOM 6

EXAM ROOM 9

WAITING ROOM 2

TO RELAX, SOCIALIZE 2. Nice break room was provided for the employees to help them relax and recharge during their long hours so they can better assist patients.

SPACE TO WORK WITH PATIENTS 3. This spaces are designed for a professional interaction. They will provide an logically organized spaces for employees to be able to work efficiently and provide great care.

PLANNING DIAGRAMS KEY

LANDMARKS LOBBY/RECEPTION

CUSTOM DESIGN WALL SERVER

CUSTOM DESIGNED RECEPTION DESK

MEN RESTROOM

WOMEN RESTROOM

EXAM ROOM 12 BREAK ROOM

STORAGE

PHYSICIAN OFFICE 1

KEY

ELECTRIC

STAFF RR

PHYSICIAN OFFICE 2

MEDICINE STORAGE

NURSE STATION

WAITING ROOM 1

OFFICE MANAGER

STORAGE

EXAM ROOM 1

EXAM ROOM 2

LAB

LAB

EXAM ROOM 7

STAFF RR

PHYSICIAN OFFICE 3

EXAM ROOM 11

EXAM ROOM 10

EXAM ROOM 3

EXAM ROOM 8

EXAM ROOM 4

PATIENTS PATIENTS RR RR

EXAM ROOM 5

EXAM ROOM 6

EXAM ROOM 9

WAITING ROOM 2

CONCEPTUAL PLANNING

GREEN WALL LOBBY/RECEPTION

PLAY ROOM SERVER

This features were incorporated to provide patients with a spa-like environment and help them forget they are in the medical facility.

MEN RESTROOM

WOMEN RESTROOM

EXAM ROOM 12 BREAK ROOM

STORAGE

PHYSICIAN OFFICE 1

ELECTRIC

STAFF RR

PHYSICIAN OFFICE 2

MEDICINE STORAGE

NURSE STATION

WAITING ROOM 1

OFFICE MANAGER

STORAGE

EXAM ROOM 1

EXAM ROOM 2

LAB

LAB

EXAM ROOM 7

STAFF RR

PHYSICIAN OFFICE 3

EXAM ROOM 11

EXAM ROOM 10

EXAM ROOM 3

EXAM ROOM 8

EXAM ROOM 4

PATIENTS PATIENTS RR RR

EXAM ROOM 5

EXAM ROOM 6

EXAM ROOM 9

WAITING ROOM 2

17

FLOOR PLAN 36

1

30

37

33 31

14

35

32

29

28

27 13

34

15

17

18

20

21

16

22

23

2

24

25

26 12

19

3 1

PLAN KEY

18

2

1-4 PHYSICIAN OFFICES/ADMIN 5 SOILED STORAGE/ LAUNDRY 6-14 EXAM ROOMS 15 EXTRA EMPLOYEE ENTRANCE 16 FOYER 17 STORAGE 18 EMPLOYEE RESTROOM 19 BREAK ROOM/LOUNGE AREA 20 EMPLOYEE RESTROOM 21 NURSE’S STATION 22 MAIN WAITING ROOM

3

4

5

6

23-24 EXAM ROOMS 25-26 SPECIMEN RESTROOM 27-29EXAM ROOMS 30 EMPLOYEE ENTRANCE 31 EXISTING WOMEN’S RESTROOM 32 EXISTING MAN’S RESTROOM 33 EXISTING/NEW SERVER 34 MEDICINE STORAGE/SAMPLES 35 EXISTING/NEW ELECTRIC 36 PREVIOUS SUIT 37 GUEST ENTRANCE

7

8

9

10

11

KEY FEATURES 1. Marble back-lit accent walls, greenery and modern appearance meant to make patience feel a if they walking into a spa rather than 1 a medical clinic.

2. Incorporation of biophilia meant to make patience more relaxed and connected to nature. Patients more likely to have a positive experience and return to the clinic.

3. Children waiting area/play room is meant to provide positive distractions and make kids realize as little as possible they came to see a doctor with intent to appeal to the patients and provide them with overall positive a impression and motivate them to comeback to this particular clinic.

CEILING PLAN

13

14 6

1

9

7

11

3

4

8

5

10 2 1 12

CEILING PLAN KEY 1. CUSTOM DESIGNED LIGHT FIXTURE

9. HANGDOWN LIGHT FIXTURE

2. BUBBLE CHANDELIER

10. EXIT SIGN

3. 1” WAYFINDING FIXTURE

11. SPRINKLERS

4. ACCESS 5. CEILING MOUNT LIGHT FIXTURE 6. HANGDOWN LIGHTING FIXTURE 7. 2” CAN LIGHT 8. UNDER THE CABINET LIGHTING

12. LED THROUGHOUT 13. HVAC (system is installed between two levels of ceilings) 14. ACOUSTICAL PANELS (are installed between two levels of ceilings)

CEILING PLAN KEY 10’- 0”

9’ - 8”

9’ - 0”

19

KIDS WAITING ROOM

20

FF&E

Ottoman upholstery (polyurethane)

Semi-Gloss Wall Paint

Seating upholstery (polyurethane )

Linolium Flooring

Children’s Furniture

Wooden Custom Shelving

21

KITCHEN ELEVATION

1

2

3

BREAK ROOM FEATURES

22

1.Kitchenette area is featuring a green wall, high-top seating for two, refrigerator, microwave/oven coffee maker and cabinetry for storage of dry goods.

2. In this area a party of four could take a lunch break together and enjoy a little conversation.

3.Lounge area is featuring a set of comfortable seating to allow employees to relax. It could also be used by pharmaceutical representatives to display their product in an informal atmosphere.

FF&E

Quartz Countertop

Glass Subway Tile

Coated Fiberboard Finish (cabinetry)

Semi-Gloss Wall Paint

Ashwood Distressed LVT

Stainless Steel Appliances

23

LOBBY PERSPECTIVE

24

FF&E

Quartz Transaction Counter, Large part of the front

Semi-Gloss Wall Paint

Quartz Accent Piece

Ashwood Distressed LVT

Marble Accent Wall

Tinted Glass Door

25

WAITING AREA PERSPECTIVE

26

FF&E

Semi-Gloss Wall Paint

Ottoman upholstery (polyurethane)

Acoustical panel on the ceiling

Ashwood Distressed LVT

Seating upholstery (polyurethane )

Marble Accent Wall Nurse’s Station Counter Side Table Tops

See-Through Glass Doors

Hardware Finishes

White acrylic Light Fixture

27

EXAM ROOM AXON 1. Patients

2.Caregivers

3

2

4

9 8

1

3.Personal

5

1. DIAGNOSTIC EQUIPMENT Ophthalmoscope Otoscope Sphygmomanometers

6

2. WASTE AND SHARPS DISPOSAL 3. GLOVES, TOWELS, CUPS DISPENSER 4. SINK

7

10

5. EQUIPMENT STORAGE 6. PHYSICIAN’S STOOL 7. EXAM TABLE 8. ASSISTANT’S STOOL

EXAM ROOM AXON 28

9. POSITIVE DISTRACTION 10. BARIATRIC SEATING

EXAM ROOM

ROOF 11' - 0" Max Ceiling 10' - 0"

SYNTHESIS E1 EXAM ROOM PACKAGE

STEELCASE EXAM CHAIR PLASTIC NEEDLE DESPENSER LAMINATE COUNTER TOP METAL GOOSNECK FAUCET

DROP-IN STAINLESS STEEL SINK

RCP 0' - 0" 1

Elevation 2 - a 3/4" = 1'-0"

10/25/2018 10:12:54 AM

NEMSCHOFF PHYSICIAN'S STOOL ON CASTERS

29

MILLWORK 1" COATED FIBERBOARD SHELVING 1/4" STEEL PLATE LED

1" TRANSACTION COUNTER QUARTZ ON MASTIC 1/2 QUARTZ COUNTER

1 1/2" PLYWOOD BASE QUARTZ PLYWOOD BACKING 3" STEEL PIPE 1" FRONT PIECE QUARTS ON MASTIC LACQUERED LAMINATE

17' - 2" 1' - 6"

15' - 8"

5' - 8"

6' - 8"

2' - 0"

2

6" '

1' - 4"

30

1

ENLARGED PLAN OF THE RECEPTION DESK

FLOOR PLAN - Callout 2 3/4" = 1'-0"

10/23/2018 1:56:41 PM

1' - 0"

" -6

DETAIL OF THE RECEPTION DESK

10/23/2018 12:42:36 PM

1'

ction 1 SECTION 1/2" = 1'-0"

MILLWORK

2

3

1

1. ADA ACCESSIBLE 2. BUILT-IN SHELVING 3. LED LIGHTING

3D VIEW OF THE RECEPTION DESK

31

FF&E

Ottoman upholstery (polyurethane)

Ashwood Distressed LVT

Quartz Transaction Counter, Large part of the front

Seating upholstery (polyurethane )

Linoleum Flooring

Quartz Accent Piece

JUSTIFICATION

32

Hardware Finishes

Marble Accent Wall Nurse’s Station Counter Side Table Tops

This room was designed to provide a separate waiting area for children and provide them with entertaining activities.

This will help them to get distracted and forget they are at the doctors office and keep them happy.

SPECIAL FEATURES ACOUSTICAL PANEL Noise canceling panel was installed to provide maximum noise reduction and to provide more pleasant experience not only for patients, but also employees of the facility.

CUSTOM DESIGNED LIGHT FIXTURE Waiting room also features soft white custom designed lighting fixture to provide an adequate amount of light, but not overwhelming.

BACK-LIT MARBLE WALL This feature was employed for visual interest as well as separation of spaces and to make the space more appealing aesthetically.

MULTI-PURPOSE ROOM

KIDS WAITING ROOM This room was designed to provide a separate waiting area for children and provide them with entertaining activities.

This will help them to get distracted and forget they are at the doctors office and keep them happy.

INFORMAL MEETING SPACE Kids waiting room could easily be converted into an informal meeting room by simply putting away the toys into custom designed storage. Space becomes more natural and could serve multiple purposes such as employee and support group meetings.

INCORPORATION OF BIOPHILIA Greenery was incorporated in the space to help patient and employees to feel connected to nature and reduce their stress.

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