RACHEL M. MATTHEWS EDUCATION
ACTIVITIES & AWARDS
2015+
2015+
Graduate Assistantship | Clemson MArch+Health Awarded Waived Tuition | Graphic Design | Design Development for Mockup | Center for Health Facilities Design & Research
Bachelor’s of Science | Environmental Design Minor in Business Administration
2015
GHS Volunteer + Shadowing | Greenville Health System Part of A+H Curriculum | 45 hours shadowing clinical staff
Santa Chiara Study Center | Italy Environmental Design | Study Abroad September - December | Traversed 5 Countries
2015
Healthcare Design Conference Charrette Team Clemson University’s MArch+Health Team Washington D.C. Coordinator | Contributed to Design | Presentation
Clemson University | Clemson, South Carolina Masters of Architecture + Health Class of 2017 Candidate
2010-2014 Texas A&M University | College Station, Texas
2012
EXPERIENCE 2015+
2011-2015 Architecture in Schools (AIS) | AIA Brazos
Clemson University | Clemson, South Carolina Graduate Assistantship Research | Graphic Design | Project Management Develop and Refine CD Set for OR Mockup
2010-2014 Texas A&M Hullabaloo Band
HDR, Inc. | Dallas, Texas | Summer Architectural Intern EP + Cath Lab Schematic Design | User Groups
Autodesk Revit AutoCAD Adobe Photoshop Adobe Indesign Adobe Illustrator SketchUp Microsoft Office
0
5
Celebration of Excellence | Texas A&M Award for Top 4 Senior Integrated Projects Coordination for NCARB Accreditation | Graphic Design
Architectural Designer | Project Management Education Construction | Renovation
EXPERTISE
2014
2013-2014 The Agency | Texas A&M College of Architecture
2014-2015 SZH Architecture | Bryan, Texas
2014
Coordinator | Teach 4th Graders Value of Architecture
10
Alto Saxophone | Travel to NCAA Tournaments
OBJECTIVES My career objective is to be a part of a team that fully utilizes and values an interdisciplinary approach to design - the use of engineering, interior design, graphic design, construction administration, medical planning, architecture, business marketing, etc. Most importantly, I want to make a positive impression in the lives of my team’s clients, the people I work with on a daily basis, and the community I am a member of. As an aspiring architect in the healthcare specialty, I aim to assist not only practitioners but also patients and their families. By providing patient centered architecture the outcome improves healing and a better environment for patient care.
Rhinoceros3D
r a c h e l mor ga nma t t he w s@ gma il.c om www.r a c he lmma t t he w s.c om
CONTENTS. 01 THE OPERATING ROOM 02 ST. FRANCIS CANCER CENTER 03 MUSC FRONT PORCH 04 MUSC MASTER PLAN 05 DC WELLNESS
THE OPERATING ROOM Charleston, South Carolina AHRQ Grant | Realizing Improved Patient Care Through Human Centered Design in the Operating Room (RIPCHD.OR) Academic | Professors David Allison & Dr. Anjali Joseph | Fall 2016 Team | Leah Bauch, Kenneth (Qian) Dong, Austin Ferguson, Lindsey Hofstra, Yingce Huang, Max (Shirui) Lin, Jane (Zhiquin) Liu, Rachel Matthews This design challenge was sponsored by the Agency for Healthcare Research Quality through a grant for the project Realizing Improved Patient Care Through Human Centered Design in the Operating Room (RIPCHD.OR). This operating room (OR) focuses on ambulatory surgeries in the pediatric and adult orthopedic settings. At the beginning of the semester the studio was tasked with researching current practices in the operating room, potential products and systems, code analysis and laying out a room data sheet. This document was helpful in informing the team of the possibilities regarding the OR. An initial kick-off of the design challenge occurred with many of the key players on the design and clinical sides at the Charleston Design Center. This afforded the design team an opportunity to express initial thoughts and ideas as well as work with experienced practitioners. Although the research began in the first year of the grant and continued through to the beginning of the semester, the document was continually refined while the design of the OR evolved. Meanwhile, approximately every three weeks, the design team would assemble in Charleston to conduct simulations with clinical teams from the Medical University of South Carolina. These teams consisted of one ambulatory pediatric team and one adult orthopedic team which included the minimum of four staff members: circulating nurse, scrub nurse, anesthesiologist and surgeon. The simulations ranged from a primitive blue-tape mockup to a full-scale, cardboard mockup. Meeting with and hearing from the clinical team greatly informed the design and was the most rewarding aspect of the design challenge.
DESIGN OBJECTIVES
DESIGN GUIDELINES
Optimize the ability to change over time
Optimize sustainable strategies
Optimize clinical outcomes and health and safety
Optimize positive experience for all users
Optimize efficiency and effectiveness
ROOM OPTIONS
1
Provide Appropriate & Controlled Access to Daylight
• Windows & Window Walls to the Exterior • Borrowed or Indirect Daylight • Electronic Opacity
2
Provide Flexible & Controllable Artificial Lighting
• LED & OLED Lighting Fixtures • Ambient Lighting • Control Dashboard
3
Maximize Visual Awareness in the OR
• Provide Windows from Adjacent Spaces • Smart Glass Technologies
4
Provide Integrated Digital Information Displays in Multiple Locations
• Digital OR • Wall of Knowledge • Wearable Monitors
5
Plan the OR to Optimize Movement and Flow
• Parallel Processing • Locate Storage in Convenient Locations • Establish Clear Functional Room Zoning
6
Employ a Flexible Room / Suite Chassis
• Flexible Infrastructure • Use of Modular Wall Systems
7
Incorporate Plug & Play Systems
• Prefabricated Wall / Ceiling Systems • Modular Furnishings and Equipment
8
Minimize Institutional Clutter
• Ceiling Mounted Items • Eliminate Unnecessary Surfaces
9
Design Features that Minimize Surface & Airborne Contaminations
• Ultra Clean Ventilation • Antimicrobial Lighting and Material • Hands-Free Control
SUITE LAYOUTS CC
22' - 0"
1
2
A
OR
OR
26' - 0"
14' - 3"
A.Z.
B
CLEAN CORE
C.Z. S.Z.
13' - 0"
A
OR
OR
C 12' - 3 1/2"
SC a
12' - 3 1/2"
22' - 0"
1
2
DESIGN STRATEGIES
Designing a singular room denotes considering the “site” in which the room fits. In surgical suites three types of configurations were explored: clean core, single corridor and the work core. One room configuration fits with the clean core model while the remaining three fit well with the single corridor and the work core. The clean core denotes “sterile” storage within the core and restricts access to only those who have scrubbed in. The single corridor consists of a double-loaded, two-way traffic corridor. The work core consists of a wider single corridor with two-way traffic and provides ample space for the storage of clean and soiled items (separated). A variety of the room configurations indicate a larger departmental gross square footage than others, therefore emphasizing the importance of its consideration. SC b WC b WC a
3
A
A.Z. 14' - 3"
OR 26' - 0"
GB&A
SINGLE CORRIDOR
SINGLE CORRIDOR
C.Z. S.Z.
13' - 0"
B
OR
OR
OR
OR
OR
C
B
OR
OR
OR
OR
OR
WORK CORE
WORK CORE
OR OR
OR
OR
OR
C
12' - 3 1/2"
12' - 3 1/2"
B
A
SC b
SC a
15' - 0"
WC b
WC a
C
2
S.Z.
OR
12' - 3 1/2"
A.Z.
C GB&A
C.Z.
OR
OR
12' - 3 1/2"
OR
OR
OR
SINGLE CORRIDOR
SINGLE CORRIDOR
22' - 0"
C
S.Z.
OR
OR
14' - 3"
SC c
13' - 0"
22' - 0"
2
13' - 11"
OR WORK CORE
WORK CORE
OR
1
OR
OR
1
26' - 0"
OR
OR
OR
OR
WC c
3
A INDUCTION
INDUCTION
A.Z.
C GB&A
14' - 3"
OR
OR
26' - 0"
B
SINGLE CORRIDOR
C.Z.
C GB&A
OR INDUCTION
C
WORK CORE
OR
12' - 3 1/2"
15' - 0"
Scrub Nurse Zone INDUCTION
INDUCTION
OR
INDUCTION
INDUCTION
12' - 3 1/2"
INDUCTION
INDUCTION
INDUCTION
S.Z.
OR
INDUCTION INDUCTION
INDUCTION
13' - 0"
D
OR
INDUCTION
INDUCTION
OR INDUCTION
Anesthesia Zone Circulating Zone
O.R. CONFIGURATION OPTIONS 22' - 0"
1
2
A
A.Z.
B
C.Z. S.Z.
13' - 0"
A
26' - 0"
14' - 3"
Floor Plan A demonstrates door locations immediately opposite of one another on the short sides of the OR. The circulating zone connects the two doors making it an optimal place for the circulating nurse to be located. The door on the bottom of the plan is designed to lead to the clean core. There is recessed storage conveniently located in the anesthesia zone and the circulating zone. During simulations with MUSC, staff verbalized the need to have storage located in those zones for immediate access to items needed for every surgery as well as some unique procedures.
C 12' - 3 1/2"
12' - 3 1/2"
22' - 0"
1
2
3
A
A.Z. 14' - 3"
Floor Plan B consists of Plan A with a singular door which complies with the single corridor and work core. The circulating nurse still maintains access to the exit door in order to retrieve any items stored outside the OR. Plan B also illustrates the possibility of incorporating an adjacent storage room and / or control room. This configuration enables the possibility for the room to expand in the short dimension or incorporate future procedures that may require more imaging equipment and personnel. Plan B also illustrates the possibility of a full window wall at the bottom of the room plan.
26' - 0"
GB&A
C.Z. S.Z.
13' - 0"
B
C
B
C
12' - 3 1/2"
12' - 3 1/2"
15' - 0"
B
A
C
A.Z.
S.Z.
C GB&A
C.Z.
12' - 3 1/2"
22' - 0"
C
S.Z.
12' - 3 1/2"
2
Floor Plan C is very similar to Plan B yet is rotated 90 degrees counter-clockwise with the door and scrub sink located on the long side of the room. The zones within the room fundamentally do not change but further create flex zones which enable the room to adapt when the procedure takes place on the right or left side of the patient’s body. This plan also features the possibility of a storage and / or control room on the short side of the room. The placement of the window wall alters in this plan and simulations with MUSC staff has informed the design to incorporate windows below displays on the bottom wall.
1
26' - 0" 14' - 3"
13' - 0"
22' - 0"
1
2
13' - 11"
3
A
B
C.Z. S.Z. C GB&A
13' - 0"
D
26' - 0"
C GB&A
14' - 3"
A.Z.
C
12' - 3 1/2"
12' - 3 1/2"
15' - 0"
Floor Plan D demonstrates the induction room configuration. Through case study analysis and research, the design team indicated the importance of exploring the option of the double induction room model. Plan D has three doors placed on two walls of the OR. This fact alone highly constrains the space yet allows the surgical process move more efficiently when appropriately scheduled and staffed.
SURGICAL PHASES 1
2
PATIENT PREPARATION
A
1. The patient is brought into the OR from pre-op, feet first, on a stretcher by a member of the anesthesia team and may or may not be assisted by the circulating nurse. 2. The stretcher is then pushed parallel next to the surgical table while the anesthesia team member and circulating nurse aide in transferring the patient onto the table. 3. The patient is then induced while the scrub nurse / tech prepares the required instruments on the back table.
A.Z.
C.Z.
B
S.Z.
C
2
1
A
1. Once the patient is induced the team completes “time out� in which the patient is verified again, procedure checked, incision site checked, etc. 2. The anesthesia team remains relatively stationary during this phase but monitors the patient’s vitals as well as the status of the surgery. 3. The surgeon / resident are located on either side of the surgical site while the scrub nurse / tech hands each instrument to the surgeon / resident when needed. 4. The circulating nurse remains attentive to the needs of each person in the room and is prepared to retrieve any items necessary that are not located in the OR. The circulating nurse also charts during the procedure.
A.Z.
C.Z.
B
INTRAOPERATIVE
S.Z. C
1
2
POSTOPERATIVE
A
A.Z.
C.Z.
B
S.Z.
1. The surgery concludes and the surgeon / resident closes the surgical site, if present. 2. The anesthesia team then brings the patient out of induction while the surgeon begins charting. 3. The scrub nurse / tech begins to count and reorganize all the instruments opened during the case. 4. The circulating nurse assists anyone needing assistance. 5. Once the patient is stable the anesthesia team transfers the patient from the surgical table to the stretcher. The anesthesia team them moves the patient to the post-op area.
Scrub Nurse Zone Anesthesia Zone Circulating Zone Above Equipment Movable Furniture or Equipment Patient Circulating Nurse Scrub Nurse Surgeon
C
Anesthesiologist
VIEWS IN THE O.R. | PATIENT PREPARATION 1
2
2
1
A
4 3
B
5
1
C
2
3
4
5
1 | The patient has the opportunity to indicate on initial registration forms as to what desired and lighting can be displayed as they enter the operating room. 2 | The view from the scrub sink indicates the visibility allowed from outside the OR as well as how the window is used as a control panel from the inside of the room. The control panel utilizes Samsung Smart Glass technology and allows the user to manipulate the light, audio, air and display settings. 3 | Before induction the patient maintains the view of their selected imagery while laying on the surgical table. 4 | The anesthesia team maintains clear line of sight to the circulating nurse as well as the patient. 5 | The circulating nurse maintains clear line of site to the anesthesia team as well as the entire room to better assist anyone in need.
VIEWS IN THE O.R. | INTRAOPERATIVE 1
2
2
A
4 1 3 B
5
1
C
2
3
4
5
1 | The room has transformed from the selected patient imagery to green light which enables the users to better see the necessary displays in the room. The resident has clear line of sight to ceiling mounted displays as well as screen mounted displays. 2 | The view from the scrub sink indicates the visibility allowed from outside the OR as well as how the window is maintained as a control panel from the inside of the room. 3 | The surgeon has clear line of sight to the ceiling mounted displays as well as the screen mounted displays. The control panel is also demonstrated in this view and is in contrast to the semi-transparent view present from outside of the OR in view 2. 4 | The anesthesia team maintains clear line of site to the circulating nurse as well as the patient. The window wall at the foot of the room has also transformed to display patient vitals. 5 | The circulating nurse maintains clear line of site to the entire room as well as access to necessary information on the mobile workstation.
VIEWS IN THE O.R. |
POSTOPERATIVE
1
2
A
B
1
1
C
1 | The room has transformed into a neutral state for the patient to emerge from anesthesia and the OR to be turned over for the next procedure.
RCP & ELEVATIONS 1
Gloves & Hardwired Recessed Casework for Phone on Inside Face Anesthesia Team of Wall
22' - 0"
2
A
Control Panel via Samsung Transparent Smart Glass Technology
14' - 3"
A
26' - 0"
ELEVATION | A
D
C
Control Panel via Samsung Transparent Smart Glass Technology
13' - 0"
B
B C 12' - 3 1/2"
Laparoscopic View for Surgeons / Residents
12' - 3 1/2"
Surgical Safety Checklist
ELEVATION | B
View over surgical site for Anesthesia team
Clock for entire surgical team
Recessed casework for circulating nurse
Glass, Maquet Wall System
ELEVATION | C
ELEVATION | D
ST. FRANCIS CANCER CENTER Greenville, South Carolina Academic | Professor Byron Edwards | Spring 2015 This semester long project included an approximately 80,000 SF outpatient cancer center for Bon Secours St. Francis Health System’s Millennium Cancer Center. Services included at this facility consist of radiation oncology, medical oncology and infusion. Radiation oncology includes one LINAC, one HDR, one CT scanner and a dock for a Mobile PET. The infusion center includes 52 treatment bays arranged in pods from open, semi-private to completely private rooms. This unit also includes a separate BMT/Apheresis Unit for that specific patient population. Medical oncology is designed as a multi-disciplinary clinic with 24 exam rooms and 4 team work areas. Additional services provided in the center include a retail boutique, retail pharmacy, with drive through kiosk, a cafe, education and classroom space, cancer registry, research department and complementary services. As part of the Bon Secours mission, the facility includes a chapel and resource library. This project aims to address the St. Francis provided space program but also address a holistic approach to healing and address the innovative, integrative and alternative medical and non-medical healing concepts. The design also includes the addition of the first US-based Maggie Centre. St. Francis Cancer Center addresses the specific environmental issues of the site including topographic, vegetation, soils, site access, and utilities. It also considers and addresses the specific health, cultural, racial, socio-economical and political issues within the community as well as pay homage to the importance of the site and its contextual significance.
THE BIG IDEAS I 85
LE VIL EN RE to G
LOCATION 27 6T
OM
SITE
VIEWS
DAYLIGHT
CONNECTIONS
TOPOGRAPHY
PROGRAM
AUL DIN
Shared Programs Semi-Private
Medical Oncology
Infusion Integrative Therapies Radiation Oncology Main Street Loading Zone Mobile PET & Ambulance Unloading
Maggie’s Centre
Shared Programs Public Storage
SITE PLAN
MAIN STREET
LEVEL 1 TMT 99 SF TMT
Support Areas
97 SF TMT 97 SF TMT 97 SF
Patient Areas
ALT INFUSION THERAPIES 276 SF
OPEN WORK AREA
COORDINATOR
567 SF
124 SF
RR
STORAGE & SUPPLIES 168 SF
59 SF
TMT 116 SF
RR RECEPTION & WAITING
Public Areas
58 SF EVS
1211 SF
56 SF TMT 116 SF
INF 351 SF
MULTI-PURPOSE ROOM 1222 SF INF 88 SF
INF 106 SF
WELCOME
INF
177 SF
88 SF INF
NS
INF
108 SF
153 SF
88 SF PVT INF
STAGE STORAGE
INF
283 SF
INF
81 SF
99 SF
88 SF PVT INF INF
80 SF
INF
PVT INF
88 SF
KITCHEN & DINING
INF
803 SF
89 SF
81 SF
88 SF
PVT INF
INF
80 SF
89 SF
NS 153 SF
INF 88 SF PHAR 95 SF
INF PVT INF
88 SF COMPUTER ACCESS
LARGE ACTIVITY ROOM
194 SF
773 SF
PVT INF
81 SF
96 SF
INF 88 SF
PVT INF
PVT INF
80 SF
96 SF
PHAR 94 SF
89 SF
232 SF
94 SF
72 SF
RR RR
83 SF
LIBRARY
PHAR
RR
INF
72 SF
INF
NS
89 SF
153 SF
PHAR 94 SF
RR 74 SF
INF
GROUP THERAPY
STORAGE
89 SF
306 SF
265 SF
PVT PHAR
168 SF
PVT INF
INF
156 SF
156 SF
126 SF
COUNSELING
NS
189 SF RR
PHAR STOR
PVT INF
61 SF
RR
154 SF
PVT PHAR
99 SF
103 SF
78 SF
EVS/STORAGE
PVT PHAR
119 SF
103 SF
RR
COUNSELING
78 SF
261 SF
RR STOR
87 SF
PVT PHAR
139 SF
103 SF RR
PHARMACY
80 SF
CHAPEL
EQ ALCOVE
756 SF
98 SF
PVT PHAR
1148 SF
103 SF
PVT PHAR 103 SF PHARM STOR 219 SF PHAR WAIT 228 SF
WAITING 18341 SF
MD
STORAGE
154 SF
195 SF STAIR
WIG FITTING
254 SF
EXAM
279 SF
113 SF
EXAM
EXAM 101 SF
113 SF
EXAM DRESSING STORAGE
113 SF EXAM
40 SF
113 SF
55 SF
EXAM
EXAM
107 SF
113 SF
EXAM
BOUTIQUE
NS
113 SF
880 SF
146 SF
EXAM
LEVEL 2
EXAM
113 SF
EXAM
PAT RR
107 SF
DN
RETAIL PHARMACY 456 SF
96 SF
67 SF
MD
MD
SUPPORT
170 SF
112 SF
296 SF
EXAM
EVS
118 SF
43 SF RR
NS
60 SF
188 SF PAT RR
MD SCHEDULING
EXAM
66 SF
111 SF
107 SF
319 SF MD EXAM
RR
SUPPORT
97 SF
NS
280 SF
120 SF
57 SF
156 SF
RESOURCE CENTER
663 SF
96 SF
PAT RR
156 SF
266 SF
INTAKE
EVS
65 SF
60 SF
RR 58 SF
SHARED WORK SPACE 223 SF
MD
62 SF
129 SF
PAT RR MD
67 SF
EXAM
107 SF
NS
65 SF
EXAM
102 SF EXAM
218 SF
ELEC
EXAM
65 SF
107 SF
146 SF
EXAM 107 SF
EXAM 107 SF
CONSULT
PROCEDURE
151 SF
236 SF
107 SF
EXAM
CONSULT
OPEN SEATING
107 SF
107 SF
INTAKE
84 SF BD WORK & BLOOD BANK 293 SF
139 SF
EXAM
128 SF
INTAKE
MECH
PASS THROUGH 102 SF
EXAM
COPY
BLOOD DRAW
201 SF
UP MED ONC WAITING 374 SF
REG 95 SF REG 95 SF REG 95 SF
MD
REG
MD
178 SF
95 SF
MD
135 SF
WOMEN CHANGING
136 SF
333 SF
WOMEN WAITING 367 SF
PHYSICS FINANCE
DOSYMETRY
90 SF
512 SF
233 SF
FINANCE FINANCE
90 SF
LINAC
OPEN WORK
90 SF
1044 SF
351 SF
FINANCE 90 SF MAIN LINAC WAIT 341 SF
MD STAFF RR
STAFF RR
68 SF
69 SF
LINAC CONTROL MEN WAIT
162 SF
264 SF
166 SF
MEN CHANGING 144 SF
COMMUNITY ROOM 727 SF MAIN RO WAITING + PET WAITING 289 SF
STORAGE
RR
79 SF
75 SF
RR 75 SF
EVS
EXAM
RAD TECH 127 SF
26 SF
EXAM 117 SF
HOT LAB CONSULT
118 SF
100 SF
68 SF
INJECT 108 SF
EQ ALCOVE
HOT LAB & STORAGE
HDR CONTROL
94 SF
198 SF
324 SF INJECT 67 SF
GURNEY 80 SF
NS
STAIR 324 SF
RR
121 SF
STAFF BREAK 718 SF
CAFE
GURNEY
1044 SF
67 SF
67 SF
RR HDR
72 SF
1459 SF CT CONTROL 137 SF
CLINICAL TRIALS
CT SCAN
1385 SF
EXAM
EXAM
110 SF
123 SF
493 SF EXAM 123 SF
CONSULT 123 SF
REF 131 SF
CT RR 56 SF
CAFE KITCHEN + STORAGE 841 SF FILE STORAGE
WORK / FAX / COPY
62 SF
171 SF
201 SF
CANCER REGISTRY WORK STATIONS 456 SF
ELEC 84 SF
MECHANICAL 795 SF
LEAD REGISTRAR
STORAGE
120 SF
1166 SF
RISER ROOM 144 SF
NUTRITION 123 SF SOCIAL WORK 126 SF OFFICE 206 SF
CATERING & STORAGE
AV SET UP
203 SF
82 SF
RR 210 SF
LARGE CLASSROOM
RR
939 SF
188 SF
EVS 22 SF
SHELL 2006 SF
CLINIC | LEVEL 01
1
3/64" = 1'-0"
ABOVE VIEW 955' - Clinic 02_Occupant Type
1
3/64" = 1'-0"
A002 Floor Plan Level 01 Bon Secours St. Francis Cancer Center 104 Innovation Drive Greenville, SC 29607
A003 Floor Plan Level 02 Bon Secours St. Francis Cancer Center
16.02.04
TRUE NORTH
104 Innovation Drive Greenville, SC 29607 03/22/16
MECHANICAL 795 SF
CONSULT OPEN SEATING 236 SF
151 SF
INTAKE 65 SF
NS
PAT RR
PAT RR
NS
102 SF
67 SF
62 SF
156 SF
EXAM 107 SF
MUSC FRONT PORCH PHASE III HOSPITAL Charleston, South Carolina Academic | Professors David Allison + Ray Huff | Fall 2015 Team | Leah Bauch, Yang Chai, Rachel Matthews The MUSC Front Porch first examined the desired master plan and overall goals for the medical district. By looking at these goals the design team made design guidelines and assumptions in order to make basic decisions. Formally our aim was to increase, positive patient views and create public access. This informed our inpatient tower location as well as placement of our mechanical space and the public features along Courtenay within the interior and exterior of Level 01. Level 00 contains numerous parking spaces for hospital staff. Level 01 contains the emergency department with elevated public drop off as well as ambulance drop off and a variety of public areas. These public areas line the glazing along Courtenay Drive as well as provide exterior space under a colonnade in response to the column repetition of Ashley River Tower as well as the proposed Women’s and Children’s Hospital on the corner of Calhoun and Doughty. Level 02 contains the imaging department. Level 03 contains the surgery department, which was fully designed and laid out. Level 04 contains an ambulatory clinic with connections to the public parking garage on Bee Street. Level 05 is the interstitial mechanical space which also contains the public roof garden accessible by fire stair or elevator. Level 06 contains the ICU nursing units with Levels 08-11 contain inpatient nursing units. By elevating the nursing units completely off of the Diagnostic and Treatment podium the patients in the ICU (Level 06) are able to view through the opening provided from the inpatient tower to the east (Ravenal Bridge) as well as to the west (Ashley River). Due to placement of the inpatient tower (Levels 08-11), patients can view over the ICU unit and VA as well as the proposed Wellness Center to spectacular views of Charleston and surrounding nature.
03 SURGERY DEPARTMENT
DEPARTMENTAL SPACE PLAN
m.arch + health | clemson university fall 2015 | RACHEL MATTHEWS
CHARLESTON, SOUTH CAROLINA
LEVEL 03 | SURGERY DEPARTMENT LAYOUT
General Operating Room (or) 27’-9”
2’ 6'-2”
28’
795 SF
PACU 380 SF
Patient / Physician / Staff Access Access to Clean Core
CLEAN UT. 160 SF
MUSC MEDICAL DISTRICT
MEDS 55 SF
SOILED UT 230 SF
EQ. HOLDING 160 SF
695 SF
332 SF
h.o.r. 972 SF
31’
138 SF
548 SF
550 SF
595 SF
46 SF 137 SF
PRE-OP 210 SF
516 SF
PRE-OP 210 SF
84 SF
80 SF
O.R. 795 SF
h.o.r. 972 SF
O.R. 795 SF
1040 SF h.o.r. 972 SF
PRE-OP 210 SF
548 SF
411 SF
80 SF PRE-OP 210 SF
O.R. 795 SF
pacu | patient anesthesia care unit (Bay)
PRE-OP 210 SF
116 SF
PRE-OP 210 SF
80 SF
157 SF 157 SF
336 SF
157 SF
411 SF
652 SF
235 SF 97 SF 100 SF
328 SF
250 SF
Patient Bed/Stretcher Med Gas Supply Privacy Curtain
307 SF 102 SF
335 SF
395 SF
216 SF
210 SF
* Cubicles have Lounge Chair for Family
11'-6”
411 SF
PRE-OP 210 SF
O.R. 795 SF
126 SF
411 SF
PRE-OP 210 SF
4’-6”
Supply Column Several Viewing Monitors LED Surgical Light LED Mount Control Surgical Light with Monitor Arm Scrub Station
11’
163 SF
PACU 546 SF
PRE-OP 210 SF
324 SF
7’-4”
972 SF
MUSC FRONT PORCH
297 SF
P. TOILET 99 SF
ANTE 108 SF
PRE-OP 210 SF
80 SF
29’-3”
179 SF
ISOLATED PACU 251 SF
h.o.r. 972 SF
O.R. 795 SF
72 SF
EQ.HOLD CLEAN 109 SF WORK 197 SF HANDWSH STATION 34 SF
80 SF O.R. 795 SF
106 SF
NURSE STATION 225 SF
261 SF 135 SF 161 SF 153 SF 181 SF 142 SF
hybrid operating room (hor)
HANDWSH STATION 40 SF
89 SF SOILED 125 SF
ON CALL EACH 155 SF
Surgical Light (2) Supply Head (2) Boom Med Gas Supply Scrub Station
ISOLATED PACU 201 SF
PACU 707 SF
STORAGE 1026 SF
210 SF
210 SF 221 SF
210 SF 97 SF
210 SF
1500 SF
210 SF 85 SF
pre-operation patient care bay 15'-5”
APPLIED GUIDELINES
13'-6”
210 SF
GUIDELINES
Patient Bed/Stretcher Med Gas Supply Private Room / Break Through Door * Often have Lounge Chair for Family
ZONE
NET AREA (NSF) 2,740 sf
PRE-OP / PHASE II RECOVERY
4,488 sf
PACU / PHASE I RECOVERY
3,344 sf
OPERATING ROOM
8,658 sf
OPERATING ROOM SUPPORT
3,525 sf
SPECIAL PROCEDURE ROOMS / SUPPORT
3,498 sf
STAFF / ADMINISTRATION
6,127
department gross square footage 32,380 sf TOTAL NET AREA (NSF) 62,275 sf
60’
unique entrance conditions all entrances elevated above flood plain PATIENT INTAKE ED ambulance drop-off ED car drop-off PRE-OP /front PHASE II RECOVERY monumental entrance ART connection PACU / PHASE I RECOVERY parking garage connection
DEPARTMENTAL SQUARE FOOTAGE ANALYSIS PATIENT INTAKE
30’
OPERATING ROOM OPERATING ROOM SUPPORT sectional conditions
dgsf/nsf ratio
ART connection dictatedROOMS floor/toSUPPORT floor heights SPECIAL PROCEDURE parking garage connection surface parking below STAFFthrough / ADMINISTRATION light wells D&T into underground parking
1.923
structural + mechanical conditions 30’ x 30’ grid for inpatient and ICU 90’ x 90’ modules | 30’ x 30’ bay interstitial mechanical space double envelope facade
access to nature swiss cheese light wells roof gardens pocket parks inpatient orientation | views to Ravenel + Ashley River
anchor to master plan mixed use on Courtenay pedestrian haven on Courtenay visible gateway into medical district
THE MASTER PLAN Strom Thurmond Institute New Mixed Use
New Wellness Center
MUSC front porch VA Hospital Ashley River Tower (ART) New Parking Garage + Roof Garden Women’s + Children’s Hospital
Roper Hospital
LEVEL 01 | MAIN ENTRY + ED main entry atrium
service dock
n.s.
bee street
n.s. rr n.s.
courtenay drive
charleston center drive
staff n.s.
rr triage
rr
decon.
emergency drop off
kitchen
n.s.
trauma
trauma
ambulance drop off
SECTIONAL STUDY
rr
central sterile
MUSC MASTER PLAN Charleston, South Carolina Academic | Professors David Allison + Ray Huff | Fall 2015 Team | Sarah Wilson, Xiang (James) Zhao, Rachel Matthews Throughout the semester the A+H studio, as well as the CAC.C studio studied Charleston as a city to develop an understanding of what makes Charleston work functionally as well as aesthetically. The second phase of the semester was to develop a master plan strategy for the medical district. The studio was divided up into teams of three in order to accomplish the master plans. The Medical University of South Carolina has a large presence in Charleston along the Western side of the peninsula. The Veteran’s Administration also has a large hospital in the district. The district has many issues which spurned five important conceptual considerations: What degree of integration of the medical district should be into Charleston’s city fabric? How can we plan for effects of climate change? How can the district prepare for the changes in transit and modes of travel? What degree should the public be involved in the medical district? How can the district prepare for future growth and change within and around its jurisdiction? These five considerations aided us in developing five guidelines for further developing built environment strategies for the medical district. The guidelines were informed by the conceptual considerations as well as precedent studies of university, medical, and commercial campuses. These guidelines informed our image of the medical district in developing an overall master plan, transit connections, and public opportunities.
CONCEPTS
GUIDELINES
STRATEGIES
Degree of integration of the medical district into Charleston’s city fabric
1
Blurred Edges
• Calming Traffic • Continuation of Immediate Contextual Uses • Soft Green Edges
Planning for effects of climate change
2
Balance of Nature + Human Activity
• Built + Natural Canopies • Hierarchy of Private + Public Green Spaces • Respect Natural Phenomenon
Prepare the district for transit changes + modes of travel
3
Promote Multi-Modal Transit
• Hierarchy of Streets • Integration of Safe Cycling • Public Transportation Nodes
Degree of public involvement within the medical district
4
Vibrant Urban Core
• Clear Wayfinding • Comfortable Pedestrian Experience • Public Focal Points
Prepare for future growth + change within / around the district
5
Resiliency Planning
• Intersperse Building Functions • Natural Disaster Planning • Protect + Celebrate Charleston
SECTIONAL STUDY
CAMPUS MOVEMENT pedestrians only public transportation routes + stops service vehicles cyclists + pedestrians personal + public vehicles
THE MASTER PLAN
public focal point
traffic calming
celebrate charleston
vibrant urban core
DC WELLNESS Washington, D.C. Charrette | Advisors David Allison + Edzard Shultz Healthcare Design Conference November 13-15, 2015 Team | Emily McGowan, Leah Bauch, Asma Sanaee, James (Xiang) Zhao, Rachel Matthews The topic of the 2015 charrette was one which envisioned a joint venture between the US Department of Agriculture and Food & Drug Administration on the well known National Mall. Our site was located at the foot of the Washington Monument with the USDA buildings on two sides. The proposed project was a 60,000 SF Wellness and Outreach Center. Incorporating the theme of Past, Present, and Future was a requirement to be met in program as well as design. It was up to the different teams to interpret, execute, and challenge the program based on their concepts and ideas. Through our kickoff meeting at SmithgroupJJR, quick tour of the National Museum of American History, and walking around the site it was clear to us that this project needed to be a monument to health. We wanted to demonstrate this in the form of a museum as well as a casual health clinic. This clinic would also have community center components like cooking and fitness classes as well as providing space for healthy food options, which currently isn’t available on the National Mall. Past, present, and future aided us in breaking up the program spatially and functionally. Our design intertwined permanence and movement. The Past means static, which became the museum function. The Present, became the active, flexible clinic space. The Future, became the flexible, outdoor program designed for future uses. These themes also coincide with the form of D.C. Wellness. While the building frames the axial view to the Washington Monument it is also in three parts, constantly framing views to the Mall and monument. The topography, natural vegetation, as well as current pedestrian traffic informed the fixed portions of the project with materials and services brought back along Independence Avenue, away from the public areas.
D.C. INFO-GRAPHIC united states drug administration
federal drug administration
USDA
FDA transparency public health
20 - 30 years old 190,000:600,000
1872
young professionals 31.6% of D.C. population
“It’s gotten to be the perfect mix of professional life + night life. That’s hard to find anywhere.”
education food + nutrition
1906
D.C. WELLNESS
50,010 localpoliticians federal employees
10,256
14.1%
of D.C. population
CHARACTER STUDIES
5%
tourist expenditures food + beverages
8th
ages 12-19
1980
tourism 28.5%
local military personnel
educational field trips
7% ages 6-11
active duty
“You’re reconnecting kids to their community in a way that matters...”
united states obesity + nutrition
18%
21%
ages 6-11
most popular city to visit in the United States [2012]
2012
28.8 billion 1/3 D.C. tourists 72,570 local jobs Mall location visitors [2014]
ages 12-19
population of United States obese [2012]
PAST | PRESENT | FUTURE PROGRAM PAST | STATIC
educational field trip
PRESENT | TRANSITION
“learn about overall health and nutrition”
FUTURE | SOFT
“define and educate about “transform and plan for personal health and nutrition” future health and nutrition”
tourist couple Body Screening
local politician
Blood Type Blood Pressure Cholesterol Blood Donations Heart Monitoring Blood Draw Flu Shot BMI
Galleries Orientation Lobby Museum Support
Group Info Sessions Collaboration Space Training Lab Consultaion
Theater Galleries
Kitchen Demonstrations Group Therapy Community Center Community Garden Healthy Restaurant Cafe Fitness Classes
service worker
Reception Office Suites Restrooms
Housekeeping Locker Room Storage
Work/Prep Mech/Electrical Debrief
Security AV/IT Communication
The D.C. population accurately depicts the diversity across this country and prompted us to think about and study different character profiles which would encounter D.C. Wellness on a frequent basis. These characters were mapped out in relation to time and space to aide us in understanding what is extremely needed on the National Mall. Ultimately, we were able to develop a project that has amazing potential to reach out to a variety of people and impact their views on health and wellbeing!
SUPPORT SERVICES
young professional
SUPPORT SERVICES
military personnel
CONTEXT + SITE + PLAN lincoln memorial
washington monument
capitol hill
usda
metrostop
usda
restaurant bus stop
ground level underground level
SU
PP
upper level
SECTION
OR
T