Zero-Fall Patient Room Design
Eman Nasrallah & Ibtihaj Alsadun
Debajyoti Pati, Professor Texas Tech University College of Human Sciences Department of Design Fall 2016
1
Design Concept
Many of places that people go for relaxation. Choosing a familiar place of relaxation and transferring that experience to the patient helps, reduce stress and injury in a hospital.
Color
Zero Patient Falls The main focus in this project is reducing the fall in patient room by consideration different aspects; such as avoiding swinging door in bathroom and using wider opening and provide sliding door, adjustable toilet seat, exploring over bed table design and IV Pole and reducing the turning, grabbing, pushing and pulling (Pati, et al., 2015).
Other Consideration
Flooring
The advice was using pale colors (Devlin, et al., 2003) and avoiding to use white color because white color have different impact in people under the condition sensitive in their environment (Dijkstra, et al., 2008).
Using SmartCells flooring was recommended to reduce fall injured if happened(Tideiksaar, 2007) & (Knoefel et al., 2013). The SmartCells can use for bedroom and bathroom.
Also, the design have other consideration such as; using natural image to give the patient positive affect (Pati, et al., 2014) & (Lankston, et al.,2010) , seamless, non Porous and smooth, easy to maintain and clean, does not support microbial growth to reduce infection (Malone, & Dellinger, 2011).
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Dimension Plan
Patient Room Area
Mirror Plan
Acoustical Glass
Electric Frosted Glass
Ceiling Plan
Lighting Keys Smoke Detector
Bedroom
250 sf Sprinkles
Bathroom
59 sf
Total
309 sf
Zoning
Zoning Keys
Patient Zone
Patient Safety Keys Visibility of patient from hallway.
Clinical Zone Patient Zone
Recessed Can
Caregiver access. Access to bathroom. View & daylighting.
Return
Family Zone
Medimode
Hygiene Zone
Auditory pathway (using acoustical glass). Wide bathroom door & frosted glass. Wardrobe.
Ibtihaj Alsadun & Eman Nasrallah
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Turning Plan
Turning Plan
Right Side
Left Side
Clinical Zone
Family Zone
Innovation Design IV Pole Design
Design Features Ø Combined with IV Pole and medical walker. Ø Simple design. Ø Clear vision without obstacles from IV Pole stick. Ø Can support the patient. Ø Patient's feet do not hit the wheels.
Over Bed Table Design Turning Analysis Number of Turning
Right Side Left Side
Angle of Turn
1
45°
2
90°
1
45°
2
90°
3
90°
4
90°
Total Number of Turning to Toilet Seat 2 turning
Staff Efficiency Keys
Family Area Keys
Access to supplies & data.
View to the TV.
Design Features Ø Simple design.
Transport in/out room. Caregiver zone.
Ø Table installed in patient bed.
Family zone separate than caregiver zone & adequate space & sleeping accommodations.
Ø Can use as a bedrail.
Access to patient head.
4 turning
Sink location & separate than work area. Clearness around the bed.
Ø Easy to clean.
Checklist Rating Issues Checklist 1 Fall Reduction Bathroom
Turning Pushing Grabbing IV pole design Toilet seat height Grab Bars Flush handle Sideway shuffle Door design (width, swing, etc.) Bathroom door to be left open
RATING SCALE 2 3 4 X X X X X X X
Issues Checklist 5
1 Other Issues Patient Safety
Staff efficiency N/A
X X N/A
Circulation
Bedroom Pushing Pulling Obstructions on path to bathroom Over-bed table design Patient chair design Bed design
X X X X X
Lighting Flooring Other consideration
X X
Infection Control Patient X
General X
Family
Visibility of patient from hallway Access to bathroom Caregiver access Bathroom Configuration Auditory pathway Clearance around bed Access to supplies Access to data Documentation station Access to patient head Access around patient Transport in/out of room Handwash sink location Handwash surface separation Visibility of corridor Visual privacy from corridor View of exterior Daylight Storage Auditory Privacy Family Proximity to Patient View of TV Family accommodation
RATING SCALE 2 3 4 X
5 X
X X X X X X X X X X X X X X X X X X X
Other Design Features
Ø Avoid to use flush handle and used flushing sensor. Ø Door design: used slid door and 4’ wide. Ø Electronic frosted glass used for privacy at the doors and windows and to have a clear visual bathroom from the patient bed. Ø Adjustable seating height. Ø Acoustical glass used for Auditory privacy.
X X
Ibtihaj Alsadun & Eman Nasrallah
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Furniture Schedule Item Patient Bed Strker 3005S3
Specification 4-wheel, 500 lb. (227 kg) weight capacity, four iv pole and traction equipment night light, ibed upgradable, dc motor
Patient Chair 740-54 Capella Adjustable toilet seat PCP 7751 Raised
Adjustable back glider
Adjustable 3"-6" (8-15 cm). 300 lb. weight limit and limited lifetime warranty.
Size Length: 93” Width with siderails up 41.5” Siderail down 39.5” Height: 30” Low standard with 6” casters 16” Patient surface 35” x 84” W: 26.5 D: 26.75 / 34 (reclined) H: 43.5 N/A
Patient Chair
Patient Bed
QTY. Manufacturer 1 Stryker
1
Herman Miller Nemschoff
1
Personal Care Products
Adjustable toilet seat
Lighting Fixture Schedule Fixture
Manufacturer
LED 2’x4’
Hubbel healthcare 6” Downlight Hubbel healthcare Patient Bed PHLIPS Light
Catalog Lamp Number QTY. MediMode 1
Lamp Type LED
Volt
Mounting
Description
120-277V
Recess
2'x4’
LF6LEDG 4 - IP65 Philips Day Brite
16
LED
120-277V
Recess
6”
1
LED
120V, 277V, 347V
Wall mounted
49.76” L x 6” H x 7.97”W
Finishing Schedule Room Name
Flooring Type
Bedroom Bathroom
SmartClells SmartClells
Flooring Manufacturer Ceiling Color SmartCells USA white SmartCells USA white
North Wall East Wall
South Wall
West Wall
Trim
SW0055 SW7718
SW0055 SW7718
SW0055 SW7718
N/A N/A
SW0055 SW7718
References
West Section Wall & North Elevation
Devlin, A. S., & Arneill, A. B. (2003). Health care environments and patient outcomes a review of the literature. Environment and behavior, 35(5), 665-694. Dijkstra, K., Pieterse, M. E., & Pruyn, A. T. H. (2008). Individual differences in reactions towards color in simulated healthcare environments: The role of stimulus screening ability. Journal of Environmental Psychology, 28(3), 268-277. Fell, D. R. (2010). Wood in the human environment: restorative properties of wood in the built indoor environment (Doctoral dissertation, University of British Columbia). Knoefel, F., Patrick, L., Taylor, J., & Goubran, R. (2013). Dual-stiffness flooring: can it reduce fracture rates associated with falls?. Journal of the American Medical Directors Association, 14(4), 303-305. Lankston, L., Cusack, P., Fremantle, C., & Isles, C. (2010). Visual art in hospitals: case studies and review of the evidence. Journal of the Royal Society of Medicine, 103(12), 490-499. Malone, E. B., & Dellinger, B. A. (2011). Furniture design features and healthcare outcomes. Concord, CA: The Center for Health Design. Pati, D., O'Boyle, M., Amor, C., Hou, J., Valipoor, S., & Fang, D. (2014). Neural correlates of nature stimuli: an FMRI study. HERD: Health Environments Research & Design Journal, 7(2), 9-28. Pati, D., Lee, J., Valipoor, S., Cloutier, A., Freier, P., & Harvey, T. (2015). Identifying and Examining Micro Physical Environment Factors Contributing to Patient Falls. Patient Rooms | Princeton HealthCare System. (n.d.). Retrieved from http://www.princetonhcs.org/phcs-home/what-we-do/university-medicalcenter-of-princeton-at-plainsboro/who-we-serve/patient-resources/patient-rooms.aspx Tideiksaar, R. (2007). How Flooring Can Reduce Fall Risk and Injury. ECPN, 24-27. Retrieved from http://www.smartcellsusa.com/wpcontent/uploads/2012/11/SafeFlooring_ECPN-Sept-2007.pdf Ulrich, R. (1984). View through a window may influence recovery. Science, 224(4647), 224-225
Ibtihaj Alsadun & Eman Nasrallah