Designing a Modern ICU – From an Architect Perspective · 2018-06-22 · 2 2 An fundamental...
Transcript of Designing a Modern ICU – From an Architect Perspective · 2018-06-22 · 2 2 An fundamental...
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An fundamental objective of an ICU design is to provide an • Efficient and cost effective workplace
• Optimal environment for healing
• Adaptable for future change of use
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Diagrammatic Section
Supporting Facilities
Supporting Facilities
Radiology
TSSU / CSSD
Supporting Facilities
Clinical Lab.
IP Ward
IP Ward
IP Ward
Cath. Lab. / IP Ward
IP Ward
Clinical Lab
IBS / NICU / PICU
9F
Ambulatory Care Centre
Ambulatory Care Centre
Ambulatory Care Centre (Day Surgery)
Ambulatory Care Centre Podium Garden
Ambulatory Care Centre
Ambulatory Care Centre
Shroff Pharmacy ACC Reception
Main OT & Recovery
Pitt Street
ICU/HDU
Tung Wah Museum
17F
G/F
The Redevelopment of Kwong Wah Hospital
EM Ward / Observation Ward
A&E Department
Radiology
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OPERATING THEATRE ANAESTHESIOLOGY
INPATIENT ARRIVAL
INPATIENT ARRIVAL
PUBLIC ARRIVAL
HOT LIFT
INTENSIVE CARE UNIT
HIGH DEPENDENCY
UNIT
9/F Layout Plan
The Redevelopment of Kwong Wah Hospital
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OPERATING THEATRE
Intensive Care Unit (9F)
NURSE STATION
NURSE STATION
ISO ROOM
ISO ROOM
4-BED ROOM
ISO ROOM
ISO ROOM
2-BED ROOM
STAFF CHANGING
STAFF FACILITIES AND OFFICE AREA
SUPPORT
SUPPORT
SUPPORT
DAY ROOM
RECEPTION
WAITING/ TOILET
INTERVIEW
TREATMENT ROOM
PROCEDURE ROOM ICU BEDS
ISO ROOM
ISO ROOM
ISO ROOM
ISO ROOM
MED. PREP
MED. PREP
EQUIP. STORE
EQUIP. STORE
EQUIP. STORE
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OPERATING THEATRE
ISO ROOM
ISO ROOM
ISO ROOM
ISO ROOM
ICU BEDS
NURSE STATION
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1
1
2 TO HDU
ISO ROOM
ISO ROOM
4-BED ROOM
ISO ROOM
ISO ROOM
2-BED ROOM
3 2 TO INPATIENT
Intensive Care Unit (9F) Patient Flow (Emergency)
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OPERATING THEATRE
ISO ROOM
ISO ROOM
ISO ROOM
ISO ROOM
NURSE STATION ICU BEDS
ISO ROOM
ISO ROOM
4-BED ROOM
ISO ROOM
ISO ROOM
2-BED ROOM
2 TO HDU
2 TO INPATIENT
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1
1
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Intensive Care Unit (9F) Inpatient Flow (Normal)
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OPERATING THEATRE
ISO ROOM
ISO ROOM
ISO ROOM
ISO ROOM
DAY ROOM
RECEPTION
WAITING/ TOILET
INTERVIEW NURSE
STATION ICU BEDS
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3 4
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ISO ROOM
ISO ROOM
4-BED ROOM
ISO ROOM
ISO ROOM
2-BED ROOM
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Intensive Care Unit (9F) Visitor Flow
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OPERATING THEATRE
Intensive Care Unit (9F)
NURSE STATION
NURSE STATION
ISO ROOM
ISO ROOM
4-BED ROOM
ISO ROOM
ISO ROOM
2-BED ROOM
STAFF CHANGING
STAFF FACILITIES AND OFFICE AREA
SUPPORT
SUPPORT
SUPPORT
DAY ROOM
RECEPTION
WAITING/ TOILET
INTERVIEW
TREATMENT ROOM
PROCEDURE ROOM ICU BEDS
ISO ROOM
ISO ROOM
ISO ROOM
ISO ROOM
MED. PREP
MED. PREP
EQUIP. STORE
EQUIP. STORE
EQUIP. STORE
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Intensive Care Unit (9F) ICU Detail Layout
Ideal Pod Size: 8 beds
Central Nurse Station
NURSE STATION
• Sufficient Work Space for computer equipment and monitoring console
• Pneumatic Tube Station for medication delivery from the Pharmacy and rapid transfer of patient specimens to and from the Clinical Laboratories
Efficient and cost effective workplace
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Intensive Care Unit (9F) ICU Detail Layout
NURSE STATION
360 Degree Vision • Direct Visual
Observation to ALL patients including 4 isolation beds
Efficient and cost effective workplace
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Intensive Care Unit (9F) ICU Detail Layout
Natural Daylight together with direct visual access to outside skyline amid the ward is essential to the well-beings of all patients and staffs
NURSE STATION
Optimal environment for healing
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Intensive Care Unit (9F) ICU Bed Layout
Adaptable for future change of use
Nottingham University Hospital, UK
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Intensive Care Unit (9F) ICU Bed Layout
20 sq.m.
Clear Floor Area • No fixed items on the
floor within the bed space
• Beds are separated by curtains
• Maximum opportunity for future change and portable equipment (i.e. COW, ECMO, and IABP)
• To allow rapid movement of patients and equipment
• To see and hear patients at all times
• To reduce reliance on video observation
• To reduce staff isolation when working 1 on1
Adaptable for future change of use
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Intensive Care Unit (9F) ICU Bed Layout
Services Pendant
Ceiling Mount TV
Wash Hand Basin
Clear Floor Area • All fixed items are
mounted on ceiling (services pendant and TV) and wall (wash hand basin)
Adaptable for future change of use
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Intensive Care Unit (9F) ICU Bed Layout
Power Sockets on wall (low level)
R.O. Water Drain & Pipe Provision Ceiling Mount
Power/Data Ports Services Pendant Provisions
V x4 MA4 x4 O2 x4
x2 x2 X 12 N E
Services Pendant
Ceiling Mount TV
Power Sockets and Data Ports
Wash Hand Basin
Clear Floor Area • All fixed items are
mounted on ceiling (services pendant and TV) and wall (wash hand basin)
• All Building Services Provisions (including R.O. water for patient with Kidney Failure) are provided on walls or services pendant for adapting any changes of use
Adaptable for future change of use
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Intensive Care Unit (9F) ICU Bed Layout
Locker Chair Trolley
Sharps Waste Bin
Trolley Clinical Waste Trolley
Waste Bin
Chair
Bed - ICU
Stool Flow Chart Stand
Power Sockets on wall (low level)
R.O. Water Drain & Pipe Provision
Wash Hand Basin
Ceiling Mount Power/Data Ports
Services Pendant Provisions V x4 MA4 x4 O2 x4
x2 x2 X 12 N E
Services Pendant
Power Sockets and Data Ports
Ceiling Mount TV
Clear Floor Area • All fixed items are
mounted on ceiling (services pendant and TV) and wall (wash hand basin)
• All Building Services Provisions (including R.O. water for patient with Kidney Failure) are provided on walls or services pendant for adapting any changes of use
• ICU bed, trolleys, equipment, and loose furniture are placed according to the mode of operation for any critically ill patients.
Adaptable for future change of use