Designing a Modern ICU – From an Architect Perspective · 2018-06-22 · 2 2 An fundamental...

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Designing a Modern ICU – From an Architect Perspective

Transcript of Designing a Modern ICU – From an Architect Perspective · 2018-06-22 · 2 2 An fundamental...

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Designing a Modern ICU – From an Architect Perspective

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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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Site Plan

The Redevelopment of Kwong Wah Hospital

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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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9/F Layout Plan

The Redevelopment of Kwong Wah Hospital

OPERATION THEATRE ANAESTHESIOLOGY

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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

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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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

Efficient and cost effective workplace

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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

Optimal environment for healing

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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

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Intensive Care Unit (9F) ICU Bed Layout

Adaptable for future change of use

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Thank You