R.I.S.E. DEPARTMENT Resilient In Surge : Emergency Department
Danielle Wilder
Neha Rampuria
Joseph Ali
Uran Sokoli
daniellessmith@tamu.edu
neha_rampuria@tamu.edu
anjoe2@tamu.edu
uransokoli@tamu.edu
Emergency and Urgent Care
Flexibility
Adaptability R.I.S.E. The RISE Department responds to both normal circumstances that demand an efficient, patient-centered Emergency Department, as well as the ideal location for Surge capacity emergency services during viral outbreaks.
8,106
92,473
Total Tests
74
92,473
Deaths
Total Hospital Bed Occupancy
85.45
Total ICU Bed Occupancy (%)
Total Hospital Bed Occupancy (%)
90+
70-79 80-89
50-59
10-19
40-49
60-69
Proportion of all positive test results delivered out of all tests collected in the Bryan-College Station area. Tests (including students, faculty and staff) are processed by Texas A&M University Student Health Services.
30-39
BRAZOS VALLEY COVID CASES BY NUMBER
9 OR LESS
20-29
Total Cases
73.08
22.6
22.6
22.6
Male
Female
92k
85,000
7,235
22.6
54,111
56,671 20 - 25 Year
Male Students COLLEGE STATION DEMOGRAPHICS Average age of a College Station resident is 23 years old Over 7,000 residents are over the age of 60
Female Students
PROJECTED FACILITY
PROJECTED SERVICE
24/7
SITE PROJECTED USER
60k
SITE CONTEXT Connected to primary and secondary roads Very visible and accessible location Close proximity to residential areas and student dorms
1 2 3
Student & Resident
USER ACCESSIBILITY
Recreation & Sport WORKERS
Educational
SITE
SITE ACCESSIBILITY Pedestrian access from North dorms and South residential zone Ambulance access directly from George Bush Car access from Bizzell coming North from student dorms and South from George Bush Blvd TAMU Bus Stop proposal located near the site on Bizzell Street
TRAFFIC ACCESS
PROXIMITY Name Ambulance Distance Service Size Type
SIGNATURE CARE EC No 2.6 Miles Open 24 hours
STUDENT HEALTH SERVICES Yes 5.8 Miles Mon - Fri 8am - 6Pm
Emergency
Emergency & Urgent
SITE
SITE CONDITION Using large overhangs and tree canopies to help shade the south-facing glass helps prevent the building from overheating in the summer. Overhangs are sized to let light inside in the winter.
1 2 3
24 EUI - 2020 Goal
Daylight
Building Performance
SITE CONDITIONS Connected to primary and secondary roads Very visible and accessible location Close proximity to residential areas and student dorms
SITE PLAN
SITE ACCESSIBILITY Pedestrian access from North dorms and South residential zone Site circulation Ambulance access directly from George Bush Car access from Bizzell coming North from student dorms and South from George Bush Blvd TAMU Bus Stop proposal near the site onEXPANSION Bizzell Street SURGE ADDITION & located PROPOSED FUTURE
SITE PLAN PLANPLANPLAN Site circulation
SITE ACCESSIBILITY
This ED needed to rapidly transform to deal with the risk of COVID-19. Having limited floor space, a phased, dynamic response allowed the ED to adapt multiple times as the epidemiology of the pandemic evolved. Guiding ED operations with data, enhancing infection control practices, and being prepared to transform areas of the ED to care for different groups of patients are key points.
Main strategies that could be utilized to make safer healthcare strategies, parallel to CDC’s original recommendations
Distancing/Separation Patient, staff and supply flow Materials and surfaces Smart technology Surge Design
https://onlinelibrary.wiley.com/doi/epdf/10.1002/emp2.12 264
LITERATURE REVIEW
https://facilityexecutive.com/2020/06/healthcare-facilities-design-after-covid-19/
Staff Entrance Staff access to outdoors
Ambulance access
Exit
Exit
Exit
Exit
Patient Entrance
Simple Geometry CONCEPT DEVELOPMENT Carving out circulation spines in the structure and branching out corridors and spaces to enhance staff efficiency and patient’s satisfaction. Separating ED patient types Patient’s arrival flow Capability to expand the facility
Separate Circulation (Normal Condition)
Separate Circulation (Surge Condition)
GAMING WITH TUCKER BELL RN - DIRECTOR OF COVID NAVAL MEDICAL CENTER, SAN DIEGO
SCALED LAYOUT
DEPARTMENTAL
NORMAL CONDITION FLOOR PLAN
SURGE CONDITION FLOOR PLAN
COLLEGE BOY BROKEN FOOT
MOTHER + CHILD COVID19
NURSE COVID PATIENTS
COLLEGE BOY BROKEN FOOT
MOTHER + CHILD COVID19
NURSE COVID PATIENTS
1. CIRCULATION/ WAYFINDING
4. CONNECTION
2. CUBISM
3. DIFFUSED DAYLIGHT/ SHADE
5. FUNCTION
6. VIEW
White Natural Thin Stone Veneer
Corrugated Metal sheet
Color Palette
Materials Zachry Engineering Building Texas Limestone Storefront/Curtain Wall Glass “Dark Grey Metal Cladding� Neutral Color Palette
All Faiths Chapel Texas Limestone Roof: Dark Brown Corrugated Metal sheet Neutral Color Palette
Wood
ENHANCING PERSONAL EXPERIENCE A key goal of the RISE Department is rooted in patient and staff experience. Bringing daylight into interior spaces where staff, patient and families are circulating has proven to increase overall satisfaction and improve physical, mental and emotional health for those within the space. Additionally, windows facing exterior green spaces introduce pleasing views that may provide calm sensation no matter the interior chaos.
UPDATE NEW VIEW
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Biz
AERIAL VIEW
AXONOMETRIC VIEW
MAIN ENTRY
VIEW FROM GEORGE BUSH DRIVE
VIEW FROM NORTH-SIDE PARKING
VIEW FROM BIZZELL Street
STAFF LOUNGE VIEW / STAFF ACCESS
THANK YOU