1. Friday 9.12.08: 8pm-11pm Saturday 9.20.08: 8am-12pm Monday 9.22.08 Group 7 Members: Kelly Bao To Denis Masse Girish Venkatesh

2. 9/23/2008To, Masse, Venkatesh2 - Open 24 hours a day, 7 days a week - 26,000 patients annually 1364 Clifton Rd. Atlanta, GA. 30320 (404) 712-7100

3. 9/23/2008To, Masse, Venkatesh3 Valet parkingOne more door

4. Can get very crowded. No separate area for children or those with severe acuity. 9/23/2008To, Masse, Venkatesh4

5. The 4 th door the patient has to go through before reaching a health care professional. 9/23/2008To, Masse, Venkatesh5

6. The Hall - Hallway width is a rough equivalent of two hallway beds - EMS service comes in from the back - Critical care room placement - Centralization of doctors & nurse at one station 9/23/2008To, Masse, Venkatesh6

7. Patient’s vital signs can be monitored. There is no privacy. 9/23/2008To, Masse, Venkatesh7

8. 9/23/2008To, Masse, Venkatesh8 Working up a patient - EMRTalking to Radiology/Surgery/etc

9. 9/23/2008To, Masse, Venkatesh9 The storage room. Moving the mobile cart.

10. 9/23/2008To, Masse, Venkatesh10 PYXIS: Narcotics - Account for usage Non-narcotics

11. 9/23/2008To, Masse, Venkatesh11 1 2 3

12. 9/23/2008To, Masse, Venkatesh12 Another hall in the ED. Has patient rooms, but less noise and less crowded Signage

13. 9/23/2008To, Masse, Venkatesh13 LEAN strategic room Emergency department Disaster Cart Triage Operations GYN CartENT Cart

14. 9/23/2008To, Masse, Venkatesh14 Problem Statement “ Impacts of stress and stress related illness in the emergency room is an issue of high concern. It has been researched that a good number of the nurses, doctors and the family members of admitted patients in the ER are prone to stress related illness. ”

15.  Stress due to design of building  60’s Design  Narrow Walkways  Bathroom Access  High Noise Levels  White noise instruments did not work  Critical Incidents due to stress  Security personnel  6 incidents in 6 months  Patient Stress  Feels ignored when alone  Pain  Beeping on monitors  Staff Stress  Break room less equipped and far off.  Handles 4 patients each Stress Induced by:  Improper Communication  Noise  Privacy  Morale

16. 9/23/2008To, Masse, Venkatesh16

17. 9/23/2008To, Masse, Venkatesh17 CONTACT Kelly- gtg552y@mail.gatech.edu Girish - gvenk@gatech.edu Denis - dmasse3@mail.gatech.edu