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Healthcare Consultants Enlistment for Prospective Projects

Individual Consultants, Architects, Healthcare planners, firms, consortiums are encouraged to fill out their personal/company brief to help us ear mark suitable choices for projects/inquiries from around the world. The following link would take you to a form which you can fill in and submit to allow us to match your services against customer requirements from around the world. So no matter if you are in Calcutta, Hong Kong, Shanghai, Perth, Cambridge, Bali or New Jersey, get registering!

Yes, Harry I want to register with HospitalDesignTips.com as a services/supplies organisation in the healthcare/allied sectors. I understand that I am under no obligation to buy anything and that I may be contacted for possible future work collaboration based on my area of expertise and my geographical outreach based on mutually acceptable terms & conditions on a case to case basis.

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About the Author:
Harry McQue is a hospital Design & Equipment Manager with Post Graduate degrees in business management and information technology. Harry has 20+ years of international experience ranging from working on hospital projects in Dubai (Middle East) to over £1 Billion hospital projects in the UK & Europe. You can benefit from his experience at: www.hospitaldesigntips.com. If you have current or upcoming projects big or small or  topics that you would like his advice on, you can get in touch via the Contact page.

Copyright 2008-2017, http://www.hospitaldesigntips.com Hospital Design Tips. Reproduction by permission only. Please Contact for any permissions for use and advice.

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Nurse Call Systems

Guest Author: Wullie Scott

All healthcare facilities as part of the hospital design process require some kind of Nurse Call System which includes patient-to-staff and staff-to-staff calls when the need arises.

When the nurse call is initiated, it buzzes at the nearest staff base, where the staff responsible can find out from the nurse call panel mounted on the wall, where the call originated. Once in the correct location, they can spot the nurse call lamp which can be ceiling or above door wall mounted to guide the staff to the correct room, where they can use the reset button to reset the buzzers and blinking lights and attend to the patients needs.

A Nurse Call system can be basic that handles patient and emergency calls by use of a button to initiate the call, a lamp that lights to show the staff where the call originated from and a buzzer.

At the opposite end of the scale, these systems can be extremely complicated depending on the requirements of the client and the department it is being used in. Many modern Nurse Call systems are based on Lon Works networks or an I.P. addressable system and offer not only the basic functionality, but the capability of staff presence; cardiac call and bedside communications from the staff base to the patient.

Planning the system

Consideration should be given to the size of the nursing zones and the relationship between staff bases / main corridors / reception desks / clean and dirty utilities with regards to where the calls will originate and where the staff may be (during the day and during night when there is low number of staff monitoring a larger area).

The layout and operation of the system for items like follow me lights / group call should be defined from a principle staff base and subsequently satellite staff bases.

Large nursing zones such as Ambulatory Care, Acute Assessment (Clinical Decision Unit), Accident and Emergency, Outpatient and Imaging, whilst intricate and complex with many sub areas, do require more thought than, say, a general ward. The specialist Nurse Call contractor should work with end users to understand how these departments operate and develop a Nurse call Operational Philosophy Document (NCOPD). This will detail not just zones but the intended operation of the system.

Design Architectural Input

The basic design of a Nurse call system is relatively simple however the equipment almost always seems to cause confusion amongst architects, clinical planners and hospital staff. It should be recognized that it is made of different components and consideration on descriptions of the various component parts should be carefully considered.

You will expect tocome across the following items and descriptions;

Patient call

Various descriptions for this item: Patient call handset or call pull cord or call handset or call handset with integrated light controls

Patient call description may also include the following descriptors added;

Reset button / Reset button with integrated patient reassurance light / Staff emergency call

It should be noted the description should clearly define the function of the unit as a composite item. As using separated item codes cause confusion and clients and validation teams often end up looking for individual items.

Commissioning of the system

Thought should also be given to the priority of call and how it should be presented to the staff. For example, a staff-to-staff call for Crash Call (to resuscitate a patient with cardiac arrest) would take priority over a normal patient-to-staff call for a glass of water or pain killers.

LCD panel should be mounted at the Staff bases and if required, at strategic points within the area served by each system such as Staff rest rooms and Corridors.

A patient call should display on the appropriate indicator panels displaying the source of the call providing audio and visual indication of an active call. Clean and Dirty utilities should have as a bare minimum lamp buzzer units fitted so if the staff are working there, they can be alerted. Other staff areas should also be considered i.e. Pantries, Drug prep, Staff offices and corridors. These should be defined in the NCOPD as functions.

Over door indicators generally illuminate the source of the call outside the room and in multibed areas above the patient bed.

The type of call generated will define the priority of a call i.e., the lowest to the highest are defined as follows:

Low: Patient call

Medium: Bathroom / Toilet call

High: Emergency

Highest: Cardiac arrest call

Consideration should be given to the above the door indication when a call is active and are generally overridden by extinguishing the light outside the room when the system receives a higher priority call returning to the previous state when the higher priority call has been reset. In multi bed areas the lower priority call should remain on to reassure a patient that their call has not been cancelled.


About the Author:
Wullie Scott is a Hospital Nurse Call Systems Specialist. He has many years of practical design & implementation level experience on large hospitals in the UK and abroad. You can benefit from his experience at: www.hospitaldesigntips.com. If you have current or upcoming projects big or small or  topics that you would like his advice on, you can get in touch via the Contact page.

Copyright 2008-2017, http://www.hospitaldesigntips.com Hospital Design Tips. Reproduction by permission only. Please Contact for any permissions for use and advice.

Any broken link? Please let us know via Contact form.

Hybrid Operating Theatres

It feels great to be back onboard www.HospitalDesignTips.com after a while as we have been extremely busy with our assignments on greenfield healthcare projects and despite our best endeavours we had to keep all our energies focussed on our current clients and best protecting their interests.

A big Welcome back to all our regular visitors and readers of www.HospitalDesignTips.com, we hope to keep you abreast of the latest developments in the healthcare industry through informative new articles regularly. I have been meaning to expand my article on Operating Theatres to include Hybrid Theatres and this article will focus on that subject.

As more and more Cardio-Thoracic and Trauma hospitals and specialist clinics are considering, and many more are actually opting to go down the Hybrid Theatres route, it pays to have an understanding of how the process works.

Hybrid Theatres in hospitals combine an Operating Theatre with imaging equipment to allow the surgeons to view live, high definition medical images in real-time. This benefits both – the patient in terms of reduced risks and fewer procedures and inter-department transfers and faster recovery, and the surgeons in terms of reduced operating times, reduced risk to patients, improved success rate due to accurate and high definition real time imaging information.

Hybrid Operating Theatres require more space than conventional theatres for the ceiling or floor mounted imaging equipment in the case of single plane angiography equipment. Optimum Hybrid Theatre area is approximately between 65 and 75 square meters. There are 90 and 120 sq meter Hybrid Theatres around too but rare. Make sure not to forget adjacent space of about 10 square meters for all the technical cabinetry for the Imaging equipment and operating table, the need for uninterruptible power supply (UPS) for the angio table to return to horizontal position if in tilt mode and UPS for the control console to ensure no images are lost in case of mains failure. Also  remember to have ample space for cooling equipment for the heat generated by the technical cabinetry and for cooling the imaging gantry etc.

In addition to the Scrub, Prep and Dirty Utility rooms, a Control Room is required to operate the imaging equipment and to assist the surgical team. This will be similar to any Cath Lab control room in terms of layout, area and equipment. Remember the angio C-arm can be ceiling or floor mounted if single plane or if bi-plane it will be both ceiling and floor mounted.

From flexibility viewpoint Hybrid Theatres also need to perform both as a standalone Cath Lab and a Theatre when required. For this reason the imaging C-Arm needs to be able to move out of the way when operating. During the last few years this was achieved by using the ceiling mounted C-arm that could slide out of the way. Recently however, floor mounted multi-axis movement capable C-arms on a robotic arm are starting to appear on the market that can sit a few meters away but are fully synchronised with the tilting operating tables to acquire real-time images. When not required they can be parked out of the way with the arm contracted.

Hybrid Operating Theatres need a very co-ordinated design given all the equipment that is ceiling mounted including the theatre lights, surgical and anaesthetic pendants, high definition 6-8 monitors on a sliding gantry, the C-arm and radiation shielding screen, to avoid any clashes and giving all possible combinations of this equipment by the surgeons while not blocking view of the Control room staff.

Before embarking on the Hybrid Operating Theatres transition another very important step to remember is to have your premises checked for sufficiency of access route for the largest pieces of the imaging equipment for doors and corridor dimensions, and ceiling height. In addition to this the floors and ceiling structures also need to be probed for their ability to support very heavy equipment, as well as provision of floor trunking to facilitate any services to be connected between the Table, technical cabinets and the control room.

I sincerely hope that this short article gives you some basic idea and understanding that is necessary at the design and/or concept stage to consider transition to Hybrid Operating Theatres for hospitals and healthcare setups. Should you need more assistance or require our professional services please do contact us here.

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About the Author:
Harry McQue is a hospital Design & Equipment Manager with Post Graduate degrees in business management and information technology. Harry has 20+ years of international experience ranging from working on hospital projects in Dubai (Middle East) to over £1 Billion hospital projects in the UK & Europe. You can benefit from his experience at: www.hospitaldesigntips.com. If you have current or upcoming projects big or small or  topics that you would like his advice on, you can get in touch via the Contact page.

Copyright 2008-2017, http://www.hospitaldesigntips.com Hospital Design Tips. Reproduction by permission only. Please Contact for any permissions for use and advice.

Any broken link? Please let us know via Contact form.

 

Easy Guide to Pathology Lab Design

Planning Pathology labs including microbiology, biochemistry and haematology should be fairly simple and straight forward. But we know from experience that if careful thought is not given at the design and planning stage, the simplest of things can and most probably will go wrong.

So what do we really need to watch out for? Although designing a hospital is a painstaking procedure best left to the professionals, still the following three basic aspects pertaining to hospital lab design need to be remembered:

Lab Benching
The material and surface are your first consideration. For labs that deal with strong chemicals, Trespa (a brand name and material by Trespa) is the best choice in the market in terms of performance & affordability. Though its extremely important how they are joined as there should be no room for any crevices where organisms can grow. Within Trespa, there are two types – Trespa Athlon and Trespa TopLab (both registered trademarks of Trespa) .

Athlon is more impact and scratch resistant while TopLab is more chemical resistant.

DuPont’s Corian is the top choice when price is not the main concern, as its virtually seamless, scratch & stain resistant, non-porous material that can be moulded into limitless shapes for customised design, such as worktop and lab sink as one piece with no cuts, crevices or joins hence ideal for lab benching and joinery requirements.

The other important aspect is the height & depth of the lab benching. Generally recommended height is 920mm for standing and depths are 600mm or 750mm but you will come across situations where an 800mm deep benching is required. This maybe needed to accommodate a deep equipment above or below the lab benching.

You need to remember that with a 750mm deep benching the space below is less than that due to the back panel which hides the services running behind such as electrical cables and water and drain pipes. Make sure you know the height and depth of your under bench fridges and cupboards as well as how big and heavy your worktop mounted analysers and centrifuges are.

Services
The second important consideration is the quantity and type of services required for each piece of equipment dotted around the labs and the need for power, data, potable or special water (distilled, de-ionised, RO), lab gasses, sinks and drainage. Some of these are normally placed at regular measurements around the labs depending on the activities being carried out.

Environment
Depending on chemicals and equipment used, fumes and heat dissipation (such as -70 degree freezers and blood fridges) issues can be significant. This has to be dealt with ventilation and convection cooling/air-conditioning.

While on ventilation, attention needs to be given to the fume cabinets and safety cabinets that require very careful and purpose built exhausts. These can be re-circulating (requiring specific filtration) or exhaust type that take the extract out to a certain level outside the building.

As experts in the field for a long while we strongly encourage hospital design students and newbies to get in touch with us. We are happy to assist upcoming and budding designers of the future!

 

About the Author:
Harry McQue is a hospital Design & Equipment Manager with Post Graduate degrees in business management and information technology. Harry has 20+ years of international experience ranging from working on hospital projects in Dubai (Middle East) to over £1 Billion hospital projects in the UK & Europe. You can benefit from his experience at: www.hospitaldesigntips.com. If you have current or upcoming projects big or small or  topics that you would like his advice on, you can get in touch via the Contact page.

Copyright 2008-2017, http://www.hospitaldesigntips.com Hospital Design Tips. Reproduction by permission only. Please Contact for any permissions for use and advice.

Any broken link? Please let us know via Contact form.

 

Have You Considered These Medical Equipment Planning Basics?

Medical equipment planning and layout design are one of the trickiest parts within the hospital design process and as such demand a thorough consideration of all aspects.

Each clinical space is woven around how clinicians interact with the equipment and the patients. It takes into account the universal principles of infection control, general hygiene and ease of maintenance and cleaning. This is the common sense stuff with things like locating wash hand basins near the entrance to remind medical staff to wash hands before and after interacting with the patients.

Medical equipment, fittings and fixtures layout follows the work flow and must separate the “dirty” and “clean” zones.

Height of hospital equipment, shelving and layout should allow easy access to hospital staff of an average height. The same goes for all diagnostic units, which should be suitably adjustable to cater to all heights/sizes of patients.

While a great majority of medical equipment is easy to relocate through attached wheels, this is not the same for larger medical equipment units such as MRI’s, and CT scanners parts of which are bolted to the floor or wall. Access and egress are both important. So thought needs to be given not just to facilitate the initial arrival and installation of these large/oversize medical units before the last wall is built, but also how to remove the equipment when it needs servicing or decommissioning and replacement. It pays to consider if these big units can be dismantled into smaller modules and whether the equipment can pass through the corridor corners? Are any trolley options available? Is the door large enough to accommodate easy passage of these units? Does it need to go in a lift? If yes, are the service lifts large enough to cater to the size and weight?

Over and above the size/movement aspects of large hospital equipment, building structure is another aspect to consider well before the construction starts. The hospital X-ray unit, for example needs steel in the ceilings to provide the ceiling tracks on which the X-Ray head is mounted. Slab deflection and vibration requirements should be established with the equipment providers.

Continuing with the example of the X-Ray, the X-Ray table, the head on the gantry, the wall mounted bucky, the control console and the generator all need services and floor trunking dimensions and locations should be provided to the structural engineers to plan that before the concrete is poured. Otherwise cutting out the trunking will be an expensive and time consuming job. Worse still the steel mesh may not allow you to cut the floor as it will compromise the slab stability.

Special hospital equipment also gets installed in stages, such as the theatre pendant and lights; the suppliers normally issue the steel plate at the construction stage which should be bolted to the concrete ceiling. The rest of the services and pendant is built just before the false ceiling goes up. For security reasons, the doors and locks should be installed to the rooms but decoration outstanding otherwise the builder may have to go back in to touch up and fix any scratches and broken items.

Likewise most advanced lasers and radiation equipment require interlocking doors as a safety measure, which is automatically turned on before switching on the said units, in addition to the warning lights outside the room.

The above discussion caters to the basic requirements only, should you desire to protect your huge investment in an upcoming hospital project it is a must that you have an experienced design manager on board while appointing the lead architects.

This is where we come in. We have worked with clinical, architectural, civil, structural, MEP, landscape, interior and other designers, engineers, medical professionals, authorities, medical equipment manufacturers and many many other entities over the years and can save you a lot of time, money and hassle but guiding you through our advice, reviewing your designs, pointing you in the right direction or whenever you have a question or at a crossroad and need pointing in the right direction. So come talk to us!

 

About the Author:
Harry McQue is a hospital Design & Equipment Manager with Post Graduate degrees in business management and information technology. Harry has 20+ years of international experience ranging from working on hospital projects in Dubai (Middle East) to over £1 Billion hospital projects in the UK & Europe. You can benefit from his experience at: www.hospitaldesigntips.com. If you have current or upcoming projects big or small or  topics that you would like his advice on, you can get in touch via the Contact page.

Copyright 2008-2017, http://www.hospitaldesigntips.com Hospital Design Tips. Reproduction by permission only. Please Contact for any permissions for use and advice.

Any broken link? Please let us know via Contact form.