Adaptable Room Design for a Critical Access Hospital Elizabeth Salmon Elizabeth Copenhaver Marti Chance Kelsey Hoffman Group 15

Memorial Hospital Carthage, Illinois  Founded in 1950  8 physicians, 3 physician’s assistants  In need of renovation 1950 Today Future

Hart Freeland Roberts  Established 1920 and oldest practicing firm in TN  Full-service architectural and engineering design firm  Noteworthy designs: The Parthenon Valley View Hospital St. Thomas Hospital VA Hospital Nashville Public Library

Goals for Project Design  Research required elements of patient room  Gain understanding of user preferences  Develop space program for inpatient room  3D computer simulation of patient room layout  Create 3D walkthrough of patient room

The Big Issues  Private or Semi-Private AIA Hospital Code  Inpatient Philosophy of Care: Category of Patient (Nine potential departments) Monitoring techniques within room Universal Room vs. Identical/Adaptable Room Patient-Focused Models  Room Concepts: Inboard/Outboard Toilets Hallway Use and Nurse Access Room Size and Family Access plus Overnight Stay Color scheme and artwork

Design Constraints and Limitations  Financial budget: ~$280 per square foot  Community Considerations Rural community Aging population Small hospital staff  Hospital Codes American Institute of Architects Americans with Disabilities Act

Hospital Codes Examples  Windows no less than 7.5% of total floor space  Minimum width for doors for access beds/stretchers: 3’8” wheelchairs = 2’10”  Grab bars In patient’s toilets, showers, tubs, and sitz baths 1.5’’ clearance to walls Withstand 250 pounds  Minimum room areas: 120 square feet clear in one-bed rooms  Air into patient rooms must be filtered to 90% efficiency

Resources  Insight from architectural professionals Scott Corbin, HFR Kansas City Todd Robinson, Earl Swensson Architects Al Thweatt, Gresham Smith & Partners  Literature  Healthcare Insight Nursing: questionnaire for hospitals in West Virginia and Carthage, Ill  Patient Opinions  Hospital room tours The Medical Center in Franklin (KY) Vanderbilt Medical Center East

Specialized Areas of Room  Patient  Nurse Station and Work Area  Family Seating  Overnight Sleeping Arrangements  Bathroom

Centralized Toilet = Longer Hallway Bathroom Location

Outboard Toilet Bathroom Location

Inboard Toilet Bathroom Location

Selection of Toilet Placement: Evaluation Chart InboardOutboardCentralized WeightValueProductValueProductValueProduct Size of Family Area Window Size Sightline Into room Nurse Station Size Hallway Length Patient Area Total

Color Schemes peach Light Green rose pale gold coral Tranquil Aqua

Artwork  Peaceful designs to make the room feel more comfortable for patients

Proposed Model #1 Family Area Patient Area Bathroom Nurses Area

Proposed Model #2 Family Area Patient Area Bathroom Nurses Area