Medical Construction & Design

SEP-OCT 2014

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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38 Medical Construction & Design | September/October 2014 one-way fl ow path. On the other side of the ED, an off-stage entrance for trauma patients arriving by ambulance mini- mizes disruption. The Memorial Hermann-Texas Medical Center in Houston, Texas, is one of two certifi ed Level I trauma centers in the greater metropolitan area, providing emergency and trauma care to over 60,000 patients a year. An 85,815-square-foot renovation and expansion of the existing ED is part of a $650-million expansion of the campus. Improving the fl ow process from arrival to discharge and eliminating returns to the waiting room is a primary goal. Pa- tients arriving by car are met by a valet and go directly to a quick-look desk for a visual triage and then move to an exam room as soon as possible. The facility is designed to move the services to the patient rather than moving the pa- tient around. Sub-waiting rooms, includ- ing a results sub-waiting space, help facilitate fl ow and provide the patient with a sense of the immediacy of care. Right-sizing and real-time EDs are valuable hospital real estate and the need to preserve space for acute care and trauma patients has planners right-sizing "soft spaces" and locating them strategically for growth. At Memo- rial Hermann, consultation rooms and triage rooms were "right-sized" to 140 square feet to match the size of an exam room. At Comanche County Memorial, all exam rooms are identical in size and equipment, a decision that also helped the design team create a plan for ready expansion into shell space that is part of the current construction. It's not just the exam rooms that are being designed for effi ciency and fl exibility. Staff workstation layouts and open design provide for clear sight lines and visibility. Location and confi guration of clinical workstations support effi cient staffi ng and allow staff to maintain connections among separate ED areas — trauma, pediatric, behavioral health and emergent or fast-track care — and constantly "take the pulse" of activity. One of the guiding principles at Me- morial Hermann is "right-of-use, not of ownership," which applies to documen- tation areas. In lieu of having separate workstations for physicians, pharma- cists, nurses and others, workstations were designed as team stations without dedicated computer areas. The interior palette of Ocean Medical Center brings wood, stone walls, glass with views outside and soft water colors like aqua and green together in a soothing healing space. In the sub-waiting area, layered woods in the low ceiling and wood fl oor patterns create a comfortable environment for guests and patients to relax in. OMC PHOTOS: JEFFREY TOTARO

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