Southwood M e dica l C l i n i c 39 0 0 Esp la n d e Wa y, Tallahassee Ala n n a Frie rson | Studio I V
SMC
Cont e nt s - P re - D e s i g n 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P rec ed en t St ud i e s 3 . . . . . . . . . . . . . . . . . . Vi su a l C o lla g e - N eg a t ive + Po s it ive E x p er ie n ce s 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P ro jec t St a keho l d e rs 6 ...............................................................
C lien t
P ro f i l e
7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L o c a t io n An a lys is + Su it e Sp ec i f i cs 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P ro g ra m Ma t ri x 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ad ja c en c y M a t ri x 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C o n c ep t + Go a l s 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Blo c k i n g
D ia g ra m m i n g
C o ntents - D esi g n D evel o p m ent Furn i s he d Fl o o r Pl a n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Re fl e ct e d C e i l i n g Pl a n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Re ce p t i o n Mi l l wo rk D e t a i l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Wa i t i n g Ro o m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Wa y f i n d i n g + C o m m un i ca t i o n To o l s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 N urs e s ’ S t a t i o n + Exa m Ha l l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Exa m Ro o m
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Furn i t ure + Fi x t ure s a n d El e ct ri ca l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
pre -design research | precedent study 1
2
Pre ce d e n t S t ud y Hea l th Mu n i c i p a l C l i n i c
|
Vo i d -Va c o n , Fra n c e , 2014
Arch i t e ct: st u di o l a l a a rc h i t ec t s Are a : 2, 300 sqf t Pro j e ct D e s cri p t i o n : Th i s hea l t h c l i n i c ’s f o c u s w a s t o a l l o w n at u ra l l i g ht a nd v ie w s w h i l e a l so p ro v i di n g p ri v a c y w herev er n ec essa r y. The int e r io r sp ac e i s c h arac t eri zed b y si mp l e, f resh ma t eri a ls t ha t e v o ke b o t h seren i t y a n d order.
D e s i g n I m p l i ca t i o n s : 3
1. Creating a sense of privacy with slatted wood facade and windows to allow for natural light 2. Prioritizing open and private spaces based upon use and proximity to view 3. Floor plan emphasizing the delineation between private and public areas
1
- F i n d i n n o v at i v e w ays t o p erc ol a t e N AT U RA L L I G H T in P R I VAT E A RE AS su c h as ex am ro o ms - C rea t e a sen se of P RI VACY A N D T RU ST U P ON E N T R Y, w it ho ut ev o k i n g c l a u st ropho bi a or a n x i et y - U se l i g h t c ol ors t o red u c e en v i ron men t a l c ost - P ro v i d e VI S U A L F OCU S t h ro u g h S P E CI F I C U S E OF CO LO R
pre -design research | precedent study 1
Pre ce d e n t S t ud y Ba l l a ra t P r i m a r y C a re C en ter
|
L u c a s V I C , A u s tralia, 2014
Arch i t e ct: D esi gn I n c Are a : 9, 300 sqf t Pro j e ct D e s cri p t i o n : The c on c ept of t he p ri mar y c a re c en t er w as a w ho le - o f- life appro ac h t o show t he ben ef i t o f c on t a c t w i t h n at u re. The d e s ig n w a s gu i ded b y t he ma x i mi za t i on o f ai r f l ow a n d n at u ra l lig ht e nt e r ing t he bu i l di n g . To ben ef i t t he p at i en t , t he sp ac e i s pl a n n ed t o e m p ha s ize v is ua l c on n ec t i o n , i n t era c t i o n , a n d a c t i v i t y -b ased sp ac es, w h ile m a int a ining a l a n g u a ge of c omf o r t , an d c l ea n l i n ess.
2
D e s i g n I m p l i ca t i o n s :
2
- MA XI MI ZE DAYL I G H T pen et ra t i on - C rea t e OP E N , I N T E RACT I VE S PACE S f or w a i t i ng p a t ie nt s t o keep t hei r mi n ds of f of t he a n x i et i es of heal t h is s ue s - C raf t a L A N G U AG E OF COMF ORT A N D T RU ST t hro ug h us e o f t ex t u red a n d N AT U RA L MAT E RI A LS w herev er p o s s ib le - P rov i d e RE S I D E N T I A L el emen t s su c h a s b eams a nd s o f t s e a t ing
3
2
pre -design research | negative mental associations
N e g a t i ve Me n t a l As s o ci a t i o n s wi t h Me d i cal Centers (f ro m p ro v i d er ’s p ers p ec ti v e)
Design Implications Implications Design Specify RESILIENT RESILIENT FLOORING FLOORING to curbs -- Specify curbjoint jointfatigue fatigue Create lighting lighting situations situations that that are are respectful respectful to to -- Create working nurses nurses working Create spaces spaces that that can can BOOST BOOST PATIENT PATIENT MORALE MORALE -- Create and assuage them in case of negative news and assuage them in case of negative news
pre -design research | positive mental associations
Po s i t i ve Me n t a l As s o ci a t i o n s wi t h Me d i cal Centers (f ro m p ro v i d er ’s p ers p ec ti v e)
Design Implications - provide adults spaces they can INTERACT WITH, just like one would with children - bring NATURE INSIDE so that greenery is visible at lower light levels or where windows aren’t available - maximize NATURAL LIGHT - use colors and materials found in nature
4
pre -design research | project stakeholders
Pro je ct St a ke ho lde rs Physi ci a ns + Nu rse P ra c t it io n ers A ge : late 20s - 6 5 De me an or: s tre ssed, heal th- ori ented, ser vi ce - ori ented Edu c ati on : M D or MSN P hys i c al He al t h: sore j oi nts (par ti cul arl y feet, knees, and ba c k ) Fi n e an d Gros s Motor : strong Con s i de rat i on s : comfor tabl e fl oori ng, l ockabl e storage, ada pt abl e ex am rooms, areas for refuge and pri vac y
Pa t i e nt s A ge : v ar ie s ( in f ant - seni or) De me an or: s tre ssed, ti red, i n need of qui et space Edu c at i on : v ar ies P hys i c al He al t h : non l i fe - threateni ng or severe ai l m ents Fi n e an d Gros s Motor : vari es Con s i de rat i on s : qui c k turnaround, posi ti ve di stracti ons, pri va c y
C u st o d i a l / M a i nt e na n c e St a f f A ge : 18+ De me an or: in dependent, sol i tar y, rel i abl e Edu c ati on : t ypical l y GED equi val ent or col l ege P hys i c al He al t h : sore j oi nts (par ti cul arl y feet, knees, and ba c k ) Fi n e an d Gros s Motor : strong Con s i de rat i on s : l oc kabl e storage, m op si nk, access to enti re spac e, turni ng cl earanc es, securi t y system
5
Fa m i l y + C a re g i ve rs A ge : v ari es D e m e anor: v a ri es, b u t ma y f ac e st ress d u e t o n at u re o f pat ie nt v is it E du c at i on: v a ri es P hysi c al H e al t h : v a ri es, b u t c ou l d b e f at i g u ed F i ne and G ross Mot or: v a ri es Consi de rat i ons: c omf o r t abl e w ai t i n g a reas w i t h po si t i v e di s t ra ct io ns , ac c ess t o n at u re an d n at u ra l v i ew s, w ork s t a t io n fo r bu si n ess peo pl e
Ph a rm a ce ut i ca l Re p re s e n t a t i ve s + Me d i ca l S up p l i e rs A ge : l a t e 20’s - 65 D e m e anor: soc i al , ex c i t ed, en erg et i c , st ressed, ru shed E du c at i on: c o l l ege - gradu a t e P hysi c al H e al t h : t y pi c al l y i n go o d c o n di t i on F i ne and G ross Mot or: may v a r y Consi de rat i ons: t o u c h d o w n spac e i n of f i c es, w ay f i n di n g
O f f i ce Ma n a g e r, Re ce p t i o n , N urs e s A ge : earl y 20s - 65 D e m e anor: mo derat e st ress, hea l t h -o ri en t ed, ser v i c e -o ri en t e d , so c i abl e, h i g h ac c u ra c y E du c at i on: c o l l ege P hysi c al H e al t h : sore j o i n t s (par t i c u l arl y f eet , k n ees, a n d b a ck) F i ne and G ross Mot or: st ron g Consi de rat i ons: l oc k abl e st o rage, areas f o r ref u g e a n d p riv a cy, c omf o r t abl e seat i n g, c u sh i o n ed f l oo ri n g
C lie nt Prof ile S p e ci a l iza t io n : Fam i l y M e di c i n e E d u ca t i o n : 20 04 , East Te n n e sse e S t at e Un i v e rs i t y Qui l l en Col l eg e of Medi c i ne, Medi c a l Sc hool Dr. S t an dr i dge ’s o f f i c e i s e x pan di n g an d m ov i ng a c ross the ha l l a s he hi red m ore d oc tors a nd N u rse P rac t i t i o n e rs o n t o h i s st af f . Th i s h as ca used hi m a nd hi s sta f f to reev a l ua te thei r c u rre nt spac e an d l o o k f o r so m e t h i n g m o re su i t e d to thei r p ra c ti c e. Dr. S t an dr i dge c o m m e n t e d du r i n g o u r m e e ti ng tha t the m ost i m p or ta nt a sp ec t of hi s j ob is his le v e l o f t r u st an d i n t e rac t i o n w i t h pat i e n t s. Dur i ng c hec kup s or exa m s, he p r i or i ti zes the p a ti e n t an d t he i r c o m f o r t s, k n o w i n g t h at i n tur n he w i l l ha v e m ore a c c ura te di a g noses. H e note d t h at t he re are e n t i re f am i l i e s, m u l t i pl e g enera ti ons, tha t v i si t hi s of fi c e, a nd tha t u niv e rs a l i t y o f u se s i s k i n g i n h i s prac t i c e .
Ma t t hew T. S t a n d ri d g e , MD
6
pre -design | location analysis
medical
P residential
P
residential
medical
N
L oc a tion A na lysis Address: 3900 Esplande Way, Tallahassee, FL Area: Southwood Climate: Summer: 92/71 Winter: 70/50 - Long summers, short winters - High levels of humidity Immediate Surroundings: Mix of residential to East and West and Medical to the South Parking: To the immediate North and West of the site (labeled as “ P ”) Staff Entrance: West side of the site Patient Entrance: North of the site
7
Notes from site visit: - Dr. Standridge wants to reduce travel times in any way possible - Nurse’s Station is tight because it is a means of circulation - Wants as many exam rooms and offices with windows as possible
Design Implications: - Waiting area should have a brighter and LIGHTER COLOR to reduce feelings of heat from the Tallahassee weather - Staff restroom should be located towards the West side of the site to streamline their day - Nurse’s station should NOT be a means of circulation
pre -design | suite specifics
Suite Specifics
Proposed Space
Area: 3659sqft Build Type: Business Group B - Clinic Outpatient (FBC, 304) Patient Entry
Staff Entry
Not in Scope
N
Definition: Clinic Outpatient: Buildings or portions thereof used to provide medical care on a less than 24 hr basis to persons who are not rendered incapable of self preservation by the services provided (FBC, 202E) Occupancy Load: 37 {100 gross/occ] (FBC, 1004.2.1)
Egress: Minimum of 2 exits Ceiling Height: Egress: 7’6” (FBC, 11) Occupied Space: 7’6” Actual Ceiling Height: 10’6” truss Accessibility Requirements: No flooring changes of > 1/4” without a ramp
Design Implications: - If possible, no ramps should be used - Permeation of natural light should be a priority - Ceiling height should be manipulated in the areas full height isn’t needed
Exterior
8
pre -design programming | program matrix
Prog ram M atrix Re cepti on Uses : To c he c k in p a tie nts a nd re l ay dat a SqF t: 392 F urn Req s: B u ilt- in re c e p tion d e sk w i t h st o rage , t ask c h ai r , de di c at e d sp a c e for fou r e m p loy e e s Elec tri c al + L i g ht i ng : Pe nd a nt l i gh t i n g, 35 F C, 70 -8 0 CR I , dat a, US B /GFI M i sc : Tra ns a c tion c ou nte r
Me d i ca l Re co rd s
Wait i ng Room
Me d i ci n e S t o ra g e U s e s : Stora g e for a l l m edi c i ne to b e a c ti v el y used , i nc ludin g sho t s S q Ft : 36 Furn i t ure Re q ui re m e n t s : Loc ked d oor , shel v i ng , eyew ash st at io n , re f rige rat o r El e ct ri ca l + L i g h t i n g : Am b i ent Li g ht, GFI outl et Mi s c:
Uses : Pa tie nt w a iting room ; s taf f m e e t i n g spac e SqF t: 700 F urniture Re q u i re me nt s: Se a ti n g f o r 25 -3 0 , si de t abl e s, bar i at r i c o pt i o ns Elec tri c al + L i g ht i ng : Sid e la m ps, 3 0 -35 F C, 70 -8 0 CR I , US B /G F I M i sc : C le a na b le s u r fa c e s , p osi t i v e di st rac t i o n s
Physi c ian’s Of f i ce ( 3) Uses : U p d a ting p a tie nt inform at i o n an d pr i v at e c o n v e rsat i o n /c o n su l t a ti on SqF t: 118 F urniture Re q u i re me nt s: Sta ndi n g he i gh t de sk , f i l e st o rage , e x e c u t i v e c ha i r , 2 s id e c ha irs Elec tri c al + L i g ht i ng : Ta s k lig h t i n g, 35 -4 0 F C, dat a, US B /G F I M i sc :
Nurses ’ Station Uses : D edic a te d s p a c e for dic t at i o n , c h ar t i n g, ge n e ral i n f o r m at i o n SqF t: 255 F urniture Re q u i re me nt s: Ta s k se at i n g, st an di n g he i gh t de sk s, st o rage Elec tri c al + L i g ht i ng : 40F C , 8 0 + CR I , t ask l i gh t i n g, US B /G F I , dat a M i sc : Ne e d s v is ib ilit y to a ll e x am ro o m s, c o pi e r , di c t at i o n are a
9
U s e s : Sp a c e to store a nd /or d estroy p a p er m edi c a l re co rds S q Ft : 36 Furn i t ure Re q ui re m e n t s : Loc ked , c a b i nets El e ct ri ca l + L i g h t i n g : Am b i ent l i g ht, GFI Mi s c: Pa p er shred d er
Me d i ci n e S a m p l e s U s e s : Stora g e for a l l sa m p l e m edi c i nes (d r y) S q Ft : 36 Furn i t ure Re q ui re m e n t s : Loc ked d oor , shel v i ng El e ct ri ca l + L i g h t i n g : Am b i ent l i g hti ng , USB /GFI Mi s c:
B l o o d D ra w S t a t i o n ( 2) U s e s : B l ood d ra w a rea for p a ti ents i n need of sa m p l es S q Ft : 57 Furn i t ure Re q ui re m e n t s : Tw o b l ood d ra w c ha i rs, eq ui pme n t st o rage El e ct ri ca l + L i g h t i n g : Am b i ent l i g hti ng , ta sk l i g hti ng , US B/ GFI Mi s c:
pre -design | program matrix
Exam Room (10) *
pre -design programming | program matrix
Vitals
Uses : Are a for p a tie nt dia g no si s an d c o n su l t at i o n SqF t: 90 F urn Reqs : H a nd wa s hing s ta tio n , st o rage , st o o l , pat i e n t be d, c o m pan i on s e a ting a re a , la p to p, ro l l i n g st o o l , sph y gn o m an o m e t e r , n e ed l e stg El ec tri c al + Li g ht i ng : U SB / G F CI , dat a, 4 0 F C, 8 0 + CR I , t ask l i gh t M i sc : F lag s for c om m u nic a tion , n e e d at l e ast 2 bar i at r i c , c o n si de r ac o usti c s Soiled Room St o ra g e + M o p Ro o m Uses : La u nd r y a nd Sa nita tion, are a f o r c u st o di al e qu i pm e n t SqF t: 50 F urniture Re q u i re me nt s: Sink , f l u she r /di si n f e c t o r , st o rage f o r c l e an good s, a re a for s oile d g o o ds, m o p si n k , f l o o r drai n , st o rage she l v i ng El ec tri c al + Li g ht i ng : G F C I, 30 + F C M i sc : Staf f Res troom ( 2) Uses : Res troom s for s ta f f only SqF t: 65 F urniture Re q u i re me nt s: s ink , t o i l e t El ec tri c al + Li g ht i ng : Am b ie nt l i gh t i n g, G F I , 35 F C M i sc :
Spe c i men Res tro o m ( 2) Uses : Res troom for p a tie nts , re st ro o m f o r spe c i m e n c o l l e c t i o n SqF t: 65 F urniture Re q u i re me nt s: s ink , t o i l e t , are a f o r spe c i m e n c o l l e c t i o n El ec tri c al + Li g ht i ng : Am b ie nt l i gh t i n g, G F CI M i sc :
U s e s : Chec k- i n a rea w here p a ti ent v i ta l s a re ta ken S q Ft : 72 Furn i t ure Re q ui re m e n t s : Sm a l l d esk, sc a l e, sp hyg m om an o me t e r, ch air, co mput e r El e ct ri ca l + L i g h t i n g : 80+ CR I , 40 FC, GFI /USB Mi s c:
Lab U s e s : Testi ng a nd a na l ysi s for a l l p a ti ent sp ec i m ens S q Ft : 80 Furn i t ure Re q ui re m e n t s : m i c rosc op e, si nk, refr i g era tor , ce n t rif uge , co un t e r t o ps El e ct ri ca l + L i g h t i n g : GFCI /USB , a m b i ent l i g hti ng , ta sk ligh t in g Mi s c: Keep l oc ked
O f f i ce Ma n a g e r O f f i ce U s e s : Of fi c e for the Of fi c e Ma na g er to g et w or k c om p le t e d S q Ft : 118 Furn i t ure Re q ui re m e n t s : Desk, stora g e, ta sk c ha i r , ta sk ligh t , t wo side ch airs El e ct ri ca l + L i g h t i n g : GFCI , 30FC, 70+ CR I , GFI /USB , dat a Mi s c:
S e r ve r + El e ct ri ca l U s e s : Room for c l i ni c ser ver , keep s hea t a w a y from othe r ro o ms S q Ft : 131 Furn i t ure Re q ui re m e n t s : Ser ver El e ct ri ca l + L i g h t i n g : GFCI , p ossi b l e g enera tor Mi s c: Keep a w a y from c ol d stora g e room s
10
pre -design programming | program matrix
Bre ak Room Uses : S p a c e for s ta f f to ta ke t he i r bre ak s o r e at SqF t: 200 F urniture Re q u i re me nt s: Sink , sm al l re f r i ge rat o r , m i c ro w av e , st o rage El ec tri c al + Li g ht i ng : G F C I/ US B , am bi e n t l i gh t i n g, dat a M i sc :
Stora ge Uses : M i s c e la ne ou s Stora g e f o r m e di c al an d o f f i c e su ppl i e s SqF t: 36 F urniture Re q u i re me nt s: She lv i n g El ec tri c al + Li g ht i ng : G F C I, 25 F C M i sc :
11
To t a l s S q Ft : 3705 C i rcul a t i o n : 854 To t a l : 4559
pre -design | adjacency matrix
pre -design | adjacency matrix
Progra m M a t r i x
Reception Vitals Waiting Room
Direct Relation Semi-Direct Relation No Relation/Separate
Physician’s Offices Nurse’s Station Exam Rooms Blood Draw Station
Design Implications
Lab Medical Records Medicine Storage Medicine Samples
- PRIORITIZE areas that have specific relations and preferred relations before others - Reduce NOISE LEVEL in larger public areas (Reception, Waiting, Nurse’s Station) - Separate PUBLIC and PRIVATE spaces
Soiled Room Storage Specimen Restroom Staff Restroom Mop Room Electrical Room Server Storage
12
pre -design statements | concept
Con c e p t
|
Pe rc e p t i ve Te s s e l l a t i o n
Pat ie nt pe rce pt ion d ri ves the hea l th i n d u s tr y. It p u s hes fo r i n fo rma ti o n and innovat ion and it a s ks fo r cl a ri t y a n d ho n es t y. Ba s ed i n co n s i s ten cy and cont inuit y, t e sse lla ti o n i s a p ro ces s o f ma thema ti cs fo u n d i n n a tu re. To cre at e one re quire s m etho d i ca l a p p l i ca ti o n o f theo r y, a t ten ti o n , a n d ca re. S im ilarly, he alt h care req u i res thes e p ri n ci p l es . B y ide nt if y ing KE Y MO D U L ES o f hea l th, wel l n es s , a n d p ercep ti o n , t h is conce pt of PERCEPT IVE T ESSEL L AT IO N s eeks to p l a ca te the n eg a ti ve e f f e ct s of he alt h and p hys i ci a n vi s i ts . U s e o f s tra teg i c wa yf i n d i n g , a n d a m onoch rom at ic sche m e wi l l emp ha s i ze p a t tern s o f ci rcu l a ti o n a n d ca re. Nat ural wood w ill provi d e a s en s e o f n a tu ra l ma thema ti cs . N a tu ra l ma teri a l s w ill be e m ph asize d t o b a l a n ce a n d refl ect the ri g i d i t y o f o ther ma teri a l s . Ult im at e ly, t he spa ce wi l l b e a b ri g ht, p o s i ti ve s p a ce tha t tes s el l a tes pe rce pt ion, nat ure , and p a ti en t ca re.
13
pre -design statements | goals
Goals
- C re a t e a spac e that is EAS I LY NAVI GAB L E - C re a t e a design solution that addresses the n e g a t i ve aspec ts of outpatient c are and he a l t h in general - U se a sc heme that still provides a RI CH E N V IR ONMENT, while keeping c onsistent - C re a t e a spac e in whic h AT T EN T IO N a n d CARE is p rov i ded MET HO D ICAL LY a n d GEN U IN ELY
14
pre -design diagramming | scheme 1
Scheme 1 Pros: - Separation of public and private areas - Convenient waiting area - Permeation of natural light in waiting area
Cons: - Lab in inconvenient area - Lack of visibility at nurse’s station - Too much circulation
15
pre -design diagramming | revised blocking
1
6
6
13
6
6
3 16
6
2 3
5
14
4
15
13
7
12 15
15
10
11
Reception Waiting Area Blood Draw Vitals Nurse’s Station Exam Room
6
9
10
15
6
Final Blocking 1 2 3 4 5 6
8
6
6
6
Scheme 1 7 8 9 10 11 12
Medicine Records Medicine Storage Medicine Samples Specimen Restroom Lab Soiled Room Storage / Mop Room
13 14 15 16
Storage Staff Restroom Office Break Room
Pros: - Maximizes light permeation - Consistent exam room sizes - Minimizes doors but maximizes privacy
Cons: - Less light permeation - Missing one staff RR
16
pre -design | planning diagram 2
Green- Public / Interactive Zones Orange - Private / Focused Zones Green Dot - Task Lighting
17
White Dot - Quiet Blue Dot - Semi-quiet Red Dot - Loud
pre -design diagramming | planning diagram 1
18
pre -design | planning diagram 3
19
Green Gradient - Patient Perspective Orange Gradient - Staff Perspective Dark Orange - Physician Circulation
Light Orange - Nurse Circulation Green - Patient Circulation Green Blocks - Focal Points
Tessellation -101 The body is one whole. When illness takes from the body, the response and care by healthcare environment and experience should equal that of the illness. Thus, creating a whole again.
20
Design Development
design development | furnished floor plan
1 13 6
6 17
17
6
6
3 2 16
6
3
14
5 4
13
7
8
6
9
15 6
12
10
10
6
11 15
15
N
15
Furnished Floor Plan S c a le: 1 / 4 ” = 1 ’ -0 ”
1 2 3 4 5 6
23
Reception Waiting Area Blood Draw Vitals Nurse’s Station Exam Room
7 8 9 10 11 12
Medicine Records Medicine Storage Medicine Samples Specimen Restroom Lab Soiled Room Storage / Mop Room
13 14 15 16 17
Storage Staff Restroom Office Break Room Not in Scope
6
6
design development | furnished floor plan
Key Arcadia Savina
Steelcase Empath Reclining Exam Table
Arcadia Savina Steelcase Lox Hayworth Capo
Coalesse Massaud Steelcase i2i
Steelcase Gesture
Coalesse Emu
Coalesse Enea
Herman Miller Desk System
Features - CONSISTENT FLOORING throughout to minimize confusion for elderly patients - CLEAR PATHWAYS
- Maximizes LIGHT PERMEATION
- Creating AGENCY through multiple seating options
- CONSISTENT exam room sizes
- SEPARATION of PATIENT-FACING and PROVIDER FACING space
- Minimizes doors but MAXIMIZES PRIVACY
- Logical use of adjacencies
- Instead of delineation of space through flooring change, TESSELATIVE MARKERS and signage direct patients and caregivers
24
design development | reflected ceiling plan
N
Reflected Ceiling Plan S cale: 1 /4 ” = 1 ’ -0 ”
A
25
10’-6” AFF 8’-0” AFF Ceiling feature from 8’ AFF to 9’-6” AFF
Justification: - Consistent linear lights reflect consistency and movement - Custom lighting features reinforce tesselative patterns
design development | reflected ceiling plan
Key
Cooper Lighting 6” Recessed Downlight Cooper Lighting Neo Ray Recessed 6”
Air Diffuser
Air Supply
1/2” Sprinkler
Exit Sign
Features
- CRI of 80+ for all fixtures - 40 FC in all exam spaces and 35 elsewhere
- Backlit signage and wayfinding
- 3000K color temperature for comfortable, yet stimulating light
- Floor lighting in entryway to guide user
- Ceiling features and lighting features placed in areas of importance to guide patients and caregivers throughout the space
- Lighting sources from multiple angles to consistently illuminate objects - Under-cabinet and toe -kick lighting throughout
26
design development | reception millwork 16' - 2"
5' - 8"
3' - 8 1/32"
2' - 10"
2' - 6"
3' - 6"
1' - 0"
8' - 8"
0' - 10"
27
Mitered Edge Quartz top 3/4” Plywood Substrate Metal Top Plate 3/8” Acrylic Metal Framing 4” Steel Tubing Rubber Toe Kick
Front
Transaction Top
Desk Top
design development | reception millwork
16' - 9 5/16"
15' - 2"
2' - 6"
3' - 6"
1' - 0"
1' - 6 9/16"
Reception Desk:
This reception desk features a series of intersecting planes. These planes, though angular, support one another and create a sense of dynamism in the form itself. This desk has check-in heights for both able bodied and disabled patients, as well as plenty of desk space for the receptionists to work.
28
design development | waiting room
Waiting Room After checking in, patients are led to the waiting room. Here, formal elements meet agency. The space features seating for all - arm chairs for the elderly, floor space for children, seating for bariatric patients, and benching for business people. The subtle complementary colors
29
create balance and emphasize planar forms.
design development | waiting room
Additional Notes: - Tessellations on walls are indicators of areas of use to patients and providers - Ceiling features and forms create a dynamism that keeps patients engaged in their environment
30
design development | wayfinding
Wayfinding Features: - Tessellations to indicate useful space - Reflected numbers illuminated in areas of importance (exam rooms) - Consistency of color - Angular to support forward movement - Calming tones - Indicators at multiple elevations - Braille Signage - Flags for visual communication between MD/NP and nurses
31
design development | wayfinding
Entrance Wayf inding
Exam Room Wayf inding 32
design development | nurses’ station
Nurses’ Station Designed for all, the nurses’ station and exam area is a collection of universal design and practicality. The station desk is built to bar height so that providers may maintain their health while at work. The signage on each door is illuminated to lead the eye of patients to
33
their destinations.
design development | nurses’ station
Additional Notes: - Triangular motif can be found in the lighting feature at the nurses’ station as well as the acoustical paneling on the walls and the exam room flags - To exemplify tessellation, the desk at the nurses’ station features a dropped desk for accessibility. Where this section drops down, the signage makes up for in the ceiling, creating a balanced image.
34
design development | exam room
Dispenser located near handwashing station and diagnostic equipment Privacy window drapery. Sheer to allow light into exam room Storage for patient items, robes, and miscelaneous items
LED screen for positive distraction, education, and diagnosis Sphygmomanometer
Opthalmascope, otoscope
Reclining exam table (used in every exam room except for larger bariatric space, shown extended in furnished floor plan)
Exam Room Axonometric
35
design development | exam room
2
5
5
8
3
1
4 6
Enlarged Exam Room 7
Exam Room Elevation Exam Room Zoning
1. Hand Sanitizer
5. Testing equipment
2. Hazardous waste and needle disposal
6. Small procedural equipment
Patient Zone Provider Zone Caregiver Zone
7. Robes and linen 3. Glove dispenser 8. Under-cabinet lighting 4. Stainless steel sink
36
design development | ff+e
F urnit ure S t e e l ca se Name : M as s aud Chai r Fe atu re s : Aluminum, ful l y uphol stered, sy nc hro- ti l t Loc ati on : Blood Draw Area
S t e e l ca c se N Name : Ge s ture Chai r FFe at u re s : Fle xibl e bac k and a mul ti tude of features to guara n t ee a ccomf or table work day LLoc at i on : Nurs es’ Stati on; Of fi ces
H a wo r t h Name : Capo Arm c hai r Fe atu re s : Accomm odates bari atri c pati ents LLoc o ati on : Waiting
37
Coalesse N am e : E n ea S t o o l Fe at u re s: Li g h t w ei g h t an d mo v eabl e f or t hose u si n g b ar se a t ing g L oc at i on: Wa i t i n g
S t e e l ca s e N am e : Lox C h a i r Fe at u re s: C a st o rs, t a bl e t o b ar a dj u st abl e, u pho l st ered L oc at i on: N u rses’ S t a t i on
Coalesse N am e : E mu C h a i r Fe at u re s: E rgo n omi c a l l y d esi g n ed a l u mi n u m L oc at i on: Break Ro o m
design development | ff+e
F urn it ure A rca d i a Name : Savi na Lounge Fe at u re s : Open bac k for easy c l eanabi l i t y Loc at i on : Wai ti ng
S t e e l ca se Name : i2i Chai r Fe atu re s : Rotati onal seat separate from bac k for conversat i on Loc ati on : Ex am room s
S t e e l ca se Name : E mpath Recl i ni ng Ex am Tabl e Fe at u re s : Accomm odates bari atri c pati ents Loc at i on : Ex am Room
38
design development | ff+e
Halls 6 Waiting
8
4
1
7
2
9
5
11 12
3
A
39
B
10
Exam Room
design development | ff+e
Details and Justifications 1. Maharam | Wallcovering Spin - Sundried Content: Vinyl Cleanability: Water-Based Class: Type II Placement: Select walls in Waiting and Nurses’ Stn Justification: Because it isn’t used in particularly high-traffic spots (just in strategic locations) a water-based clean should be sufficient 2. Kravet | Upholstery Encircle - Ink Content: Polyolefin + Polyester Cleanability: Bleach Cleanable (10:1) Durability: 20000 Double Rubs Placement: Waiting room benching Justification: This is an indoor/outdoor fabric that will survive children climbing on it 3. Designtex | Wallcovering Madera - Walnut Content: Vinyl (harmful Pthalate-free) Cleanability: Water-Based Fire Rating: ASTM Class A Placement: Select areas in Waiting Room Justification: Because it isn’t used in particularly high-traffic spots (just in strategic locations) a water-based clean should be sufficient 4. Wolf Gordon | Wallcovering Mandarin - Saki Content: Vinyl Cleanability: Non-Permeable; Bleach Cleanable Class: Type II Placement: Throughout Justification: This impermeable wallcovering will withstand the test of time, while adding subtle texture to the walls
9. Wolf Gordon | Wallcovering 5. Armstrong | Flooring Mandarin - Whisper Vivero Better - Arbor Orchard Content: Vinyl Content: Luxury Vinyl Tile Cleanability: Non-Permeable; Bleach Cleanable Cleanability: Solvent Class: Type II Wear Layer: Diamond 10 Placement: Throughout Placement: Throughout Justification: This impermeable wallcovering will Justification: This flooring is 100% waterproof and will withstand the test of time, while adding subtle curb joint fatigue because of it’s rubber texture to the walls backing and flexible material 6. Designtex | Upholstery Dapple - Shoji Content: Polyester Cleanability: Bleach Cleanable 10:1 Placement: Waiting room capo chairs Durability: 100, 000 Wyzenbeek double rubs (CD) Justification: The small pattern balances out the large forms in the space. The material is also highly durable. 7. Designtex | Wallcovering Bisect - Heron Content: Vinyl (harmful Pthalate-free) Cleanability: Bleach Cleanable 10:1 Class: Type II Placement: Waiting Room Justification: This wallcovering is heavy-duty and will withstand the heavy traffic 8. Vinyl Wall Base Deep Blue Content: Vinyl Cleanability: Bleach Cleanable Durability: High Traffic Placement: Throughout Justification: These are durable wall bases with the ability to withstand consistent foot traffic
10. Wilsonart| Countertop Marrara - Q4026 Content: Quartz Cleanability: Water/Solvent Placement: Reception desk and Nurses’ Station Justification: Quartz countertops are strong, and require less maintenance than other stones 11. Designtex | Window Covering Ori - White Content: Polyester Cleanability: Water-Based Solvent Fire Rating: Flame Retardant Placement: Exam Rooms Justification: These sheers allow light to permeate while maintaining privacy for patients
A. Cooper Lighting | Lighting Neo-Ray Recessed 6” CRI: 80+ Color: 3000K Bulb Type: LED Placement: Throughout Justification: This fixture is relatively unobtrusive in the space, while giving off a sufficient amount of light. B. Cooper Lighting | Lighting ML56 Recessed Downlight 6” CRI: 90 Color: 3000K Bulb Type: LED Placement: Throughout Justification: This fixture is relatively unobtrusive in the space, while giving off a sufficient amount of light. The CRI rating will provide an an accurate coloring of all patients and materials.
12. Designtex | Upholstery Metta - Ice Content: Vinyl Cleanability: Water-Based Class: Type II Placement: Exam tables and nurses’ stn chairs Justification: Because it isn’t used in particularly high-traffic spots (just in strategic locations) a water-based clean should be sufficient
40
Alanna Frierson Studio IV | Fall 2018