1. Field Observation Grace Shin Busra ErgunRan zhou

2. Send heart rate, blood pressure, respiratory rate Intensive care unit's equipment Monitor continuously displays patient’s information

3. Intensive care unit's Recording Method 1) 2) Record medical information to computer and paper Computer Documentation

4. Intensive care unit's Recording Method Nurse in Piedmont has PDA to record information 3) PDA

5. Intensive care unit's Recording Method 4) MCA (Mobile clinical assistance)

6. Intensive care unit's Recording Method Wireless connectivity: to access patient information and physician’s order. RFID: to identify patients, medications and assets Integrated bar code reader: to manage medicines or costly supplies MCA(Mobile clinical assistant): Enable nurses to spend more time with patients, do their jobs on the move while remaining connected

7. Nurse Station Clearance

8. Nurse work space

9. Nurse Station

10. Nurse station

11. Hallway Computer Storage

12. Entrance/Lobby Design: in general, interaction points are circled Waiting room with colorful design Aquarium Big screen ocean view Attractive for children To make the waiting times less boring

13. Entrance/Lobby Elevators – named as flower and butterfly – goes different departments – natural feeling (wooden walls and green leaves on the ceiling) coffee shop

14. Families Shower Laundry Exercise room Private sleeping room Chapel: most silent place Business center and library: help the families to follow their daily routines and to learn more about their children’s illness

15. Neonatal ICU 35 beds (incubator) Low lighting Warm environment to support the growth of the babies ALOS: 28 days Signal system orange: alarm yellow: family need blue:crisis

16. Neonatal ICU Each incubator has a nurse working desk, information board and family armchair Average 2 patients/ nurse

17. Pediatric ICU 26 beds 28 CICU beds ALOS: 4 days Individual rooms Design: movie star feeling Window Bed restroom Working desk for nurse dashborddashbord PC Glass Door

18. Pediatric ICU Natural lighting Wireless phones for nurse 4 nurse pods: screen to follow each room

19. REHAB Visitation policy looser than ICU, because support of family and friends is important in Rehab ALOS depends on the situation of patient, around 10 days but deviation is high Restroom & Bathroom Window Couch Chair Bed TV and DVD unit door Window to hall Nurse Working Area

20. Challenges  Patient privacy vs. Transparency  Sometimes 3patients/nurse  How nurse spend time in POD system?  Infection control  No special bathroom in PICU rooms  Cell phone usage restrictions for families  Limited family visit in NICU  Families affect each other  Psychology of families

21. Thank you