Zero-Fall Patient Room Design, Acute Care Design Project, Fall 2016

Zero-Fall Patient Room Design

Eman Nasrallah & Ibtihaj Alsadun

Debajyoti Pati, Professor Texas Tech University College of Human Sciences Department of Design Fall 2016

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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

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Herman Miller Nemschoff

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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