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ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
VA ANN ARBOR HEALTH CARE SYSTEM 2215 FULLER ROAD, ANN ARBOR, MI 48105
H O S P I T A L D E S I G N A N D H E A LT H Instructor: Jean Wineman VA Assistants: Valerie Chase, Tom Kerr, Ken Vitale
April 21, 2015 - Winter 2015
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CURRENT SITUATION
OBSERVATIONS , SNAPSHOTS AND TRACKING
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
STAFF: NURSES: 14/18 IN CHARGE PER DAY. TECHNICIANS: 6/7 IN CHARGE PER DAY FELLOWS: 3 ATTENDING PHYSICIANS: 6 PATIENTS: 25-35 PER DAY INCLUDING IN-PATIENTS IN-PATIENTS: 1-2 PER DAY COMING WITH STRUCTURES
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ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
CURRENT SITUATION
OBSERVATIONS , SNAPSHOTS AND TRACKING
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ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
Existing Prep&Recovery: 1666 ft2 Existing Procedure : 1556 ft2
Require Prep&Recovery: 3350 ft2 Require Procedure: 1860 ft2
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STAFF TRACKING DURING PROCEDURE
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
BY PASS
counter
TOILET
PROCEDURE ROOM 3
TOILET
PROCEDURE ROOM 3
BY PASS
NOTE: ANESTHESIOLOGIST IS OPTION
counter
scopes
scopes
T
T
D
T
T lab
lab
N
D
A
N A
sk desk
doctor's station (stagnant)
anesthesiologist movable cart
sk desk computer where doctor prepares for the procedure. he looks up patient history etc.
0
5
10
2O
30
50
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BOOM-BED ORIENTATION
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
2 Booms at head and feet
Single boom at diagonal
Centralize single boom
2 booms at diagonals
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DIAGRAM OF SCOPE FLOW
DIRTY SCOPES
storage counter
desk
D
N A sk
T
lab
T
CLEAN SCOPE
CLEANSCOPE
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
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PROCEDURE IN OVERALL REDESIGN
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL gown & storage
Storage
19’7” x 17’7” 19’7” x 17’7”
DIRTYSCOPE
storage counter
CLEAN SCOPE
DIRTY SCOPES
CLEAN SCOPE
CLEANSCOPE
Restroom
T
lab
desk
D
N A sk
19’7” x 17’7”
19’7” x 17’7”
Staff Office
Toilet Staff Office
Toilet
ERCP PROCEDURES
T
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PROCEDURE ROOMS
ARCH 509 | WINEMAN | HOSPITAL DESIGN AND HEALTH | VA HOSPITAL
gown & storage
Storage
19’7” x 17’7” 19’7” x 17’7”
DIRTYSCOPE
storage counter
CLEAN SCOPE
DIRTY SCOPES
CLEAN SCOPE
CLEANSCOPE
Restroom
T
lab
desk
D
N A sk
19’7” x 17’7”
Staff Office
19’7” x 17’7”
ERCP PROCEDURES
T