SURGE HOSPITAL PROPOSAL
SURGE HOSPITAL PROPOSAL - PATIENT TYPES
Lawrence, KS, USA
Lawrence, KS, USA PATIENT TYPES
The Centers for Disease Control (CDC) has provided guidance regarding which COVID-19 Patients are approprate for alternative care sites.
VACANT HYVEE GROCERY STORE
FACILITY TYPES
PATIENT TYPE
PATIENT CARE
FACILITY OPTIONS
Tier One Isolation Sites
• COVID-19 who do not need medical attention but cannot stay at home • Exposed to SARS-CoV-2 and without symptoms
• Limited monitoring, care for themselves
Private room and bathroom suitable in hotel or dorm
Tier Two
• COVID-19 convalescing care after hospital discharge
• minimal monitoring for such things as blood glucose • Minimal level of assistance with activities of daily living
Open layout (school gymnasium)
Tier Three
• Require respiratory treatment with medical gas support and possible mechanical ventilation
• Intense monitoring
Dependent on availability of space in local jurisdiction Source: https://www.ashe.org/what-if-we-cared-patients-school
Site Location - 4000 W 6th St, Lawrence, KS 66049
ABOUT | DESIGN INTENTIONS The current COVID-19 crisis is unprecedented in modern times. There is no way to best prepare for the potential rush of people needing care and the number of patient hospital beds required to care for them. If predictions are even partly correct, we will still fall short of this need for patient hospital beds. According to The American Hospital Association, there are
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approximately 920,000 staffed beds in the U.S. Some studies have estimated that five to nine million infected people in the U.S. may need to be hospitalized, a third of whom might require intensive care. While not all infected will need critical hospitalization, many will require some sort of care throughout the pandemic. This will lead to more hospital beds being needed
AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
than are currently available. Because of the gap between capacity and demand, we need to identify alternatives to help offload the bed demand from our hospitals. This vacant Hyvee Grocery Store in Lawrence, Kansas can be utilized as a Surge Hospital for COVID-19 patient care and supervision during the pandemic.
This Lawrence, Kansas vacant Hyvee grovery store can easily be converted to a Tier One or Tier two alternative care site. Patients with high risk factors, are over age 50 and have preexisting conditions would be best suited for the hospital (Tier Three). As a Tier One or Tier Two site, this facility is intended to preserve hospital resourses for the sickest of patients.
PATIENTS MOST APPROPRIATE FOR A COVID-19 SURGE HOSPITAL STAY: • Suspected of being a COVID-19 Carrier • Confirmed COVID-19 positive, but not presenting severe symptoms • Confirmed COVID-19 positive, live alone and can't care for oneself • Recovering from COVID-19 but still require care • Patients in the age range of 18 to 50• Patients who require monitoring due to risk of progression to severe condition
LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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SURGE HOSPITAL PROPOSAL - CASE STUDIES
SURGE HOSPITAL PROPOSAL - CASE STUDIES
Lawrence, KS, USA
Lawrence, KS, USA
CASE STUDY 1
CASE STUDY 2
Surge Hospital: High Schools
Surge Hospital: Hotels
During the current COVID-19 crisis, HKS has convened a series of think tanks to quickly study and discuss alternative care sites for low acuity COVID-19 patients. After considering many types of schools, they determined that a medium to large high school provides the best opportunity to quickly create functional patient care spaces that can be used if the virus spreads to predicted numbers.
Knowing that the current USA hospital bed cpacity will likely fall short of the need, there needs to be alternatives that can help offload the bed demand from hospitals. One solution is Hotels. Hotel to Surge Hospital Room Conversion:
Guest Rooms -
Why a High School? • High Schools are found in almost all communities, with generally easy to access sites. • They have enough space to house between 200-500 COVID 19 patients, depending on the facility and available space. • They have wide corridors and use mostly non-porous, durable surfaces to maintain cleanability. • Centralized MEP to provide higher quality of control to spaces. • Many spaces that are easily convertable • The conversion requires minimal intervention and/or construction and can be done quickly
HIGH SCHOOL PLAN
Patient Room Nursing Station Unit Storage Staff Sleeping
Lobby/Check In -
Triage Assessment Intake Registration
Conference -
Central Med. Supply Nurse Support Administration
Kitchen -
Kitchen
Restaurant -
Staff Dining
Dock -
Dock (supply in, waste out)
Ballroom -
Patient ward
GYM PLAN
ENTRY LEVEL ZONING
PRE-ADMISSION FLOW
PATIENT FLOOR
CLASSROOM WING PLAN
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Source: https://www.ashe.org/what-if-we-cared-patients-school AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
Source: https://www.ashe.org/what-if-we-used-hotel-patients LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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SURGE HOSPITAL PROPOSAL - SITE
SURGE HOSPITAL PROPOSAL - SITE
Lawrence, KS, USA
Lawrence, KS, USA
MAP KEY
2.75 Miles 5 Minutes
MAP KEY
Site (Vacant Hyvee)
Site (Vacant Hyvee)
Lawrence Memorial Hospital
Patient Route Ambulance Route
Watkins Student Health Center
Drive Through Testing
6th Street Iowa Street 23rd Street
Patient/Public Parking
Montery Way
Lawrence Memorial Hospital West
Patient Entrance Staff Parking Staff Entrance
6th Street
K-10
Potential Nurse Living
I-70
NORTH
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AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
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LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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SURGE HOSPITAL PROPOSAL - CONCEPT DIAGRAMS
SURGE HOSPITAL PROPOSAL - CONCEPT DIAGRAM
Lawrence, KS, USA
PATEINT CARE SPACE - 54,460 SF
Acute Care Units or ICU
Lawrence, KS, USA
TRIAGE / ASSESSMENT FLOW Patients Present to Designated Area
DIAGNOSTIC AND TREATMENT - 6,000 SF
Assess / Test
CLINIC SUPPORT - 250 SF
NEGATIV E
Home Staff Entry
Clinical Engineering Patient Transportation
BUILDING SUPPORT - 2,500 SF
STAFF SUPPORT - 1,000 SF
On Call Rooms Physician Lounge
Severe Symptoms, High Risk Factor
Building Services EVS Information Technology Quality and Patient Safety
AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
CO ND ITIO N WO RSENS
BUILDING SUPPORT
Patient Exit
PUBLIC SPACE
PATIENT CARE SPACE
PHARMACY
Hospital
ADMINISTRATION - 2,790 SF
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Care at Home
Care at Surge Hospital
PUBLIC SPACE - 1,100SF
Lobby/Chapel Pastoral Care
Mild Symptoms, Lower Risk Factor
DIAGNOSTIC & TREATMENT
ADMINISTRATION
PO SITIVE
Supply Chain Receiving and Distribution Food Service
Administration Care Coordination HIM/Medical Records Protective Services
STAFF SUPPORT
CLINICAL SUPPORT
Imaging Lab Morgue Pharmacy Respiratory
Monitor Closely
Main Patient Entry Recovered
Home LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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SURGE HOSPITAL PROPOSAL - CLEAN VS DIRTY DIAGRAM
SURGE HOSPITAL PROPOSAL - PATIENT AND STAFF FLOW
Lawrence, KS, USA
Lawrence, KS, USA
CLEAN/ LOW ACUITY
CLINICAL SUPPORT
BUILDING SUPPORT Staff Entry
STAFF SUPPORT
SUPPLY OUT
DIAGNOSTIC & TREATMENT
Patient Exit PATIENT CARE SPACE PUBLIC SPACE
BUILDING SUPPORT
Patient Exit
PUBLIC SPACE
DIRTY/ HIGH ACUITY
PHARMACY
DIAGNOSTIC & TREATMENT
ADMINISTRATION
ADMINISTRATION
Staff Entry
STAFF SUPPORT
CLINICAL SUPPORT
SUPPLY IN
PATIENT CARE SPACE
PHARMACY
Staff Flow Main Patient Entry Main Patient Entry
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AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
Patient Flow
LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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SURGE HOSPITAL PROPOSAL - CONSTRUCTION STRATEGIES
Lawrence, KS, USA
SURGE HOSPITAL PROPOSAL - HOSPITAL APPEARANCE
Lawrence, KS, USA
Drive Through Testing Covered Testing Temporary Supply Trailer Drive Thru Zone Photo Source: BJC Healthcare
Interior Spaces
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Partition Spaces with Vinyl Walls In order to construct areas under a short time frame, the primary construction strategy in place would be to assemble temporary ‘rooms’ with light weight metal rods and vinyl sheets for privacy. The photo on the left resembles the desired density that would fill the dedicated treatment zone, whereas the photo on the right resembles the desired materials to construct the facility. The construction is a temporary measure that enables for a lot of flexibility in use after the intial usage needs end. Walk-off carpetting laid in between corridors for comfortability.
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AIA Academy of Architecture for Health | Research Initatives Committee Proposal Prepared By: Dani Kolker, Alyssa Aragon and Caroline Coleman
Physican work room. LAWRENCE, KANSAS SURGE HOSPITAL | PROPOSAL AIA Academy of Architecture for Health | Research Initatives Committee
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