Hospital Summer Observation Report

CLEMSON UNIVERISTY Healthcare Architecture Program HLTH 6200 _Health Facility Field Observation Yang Chai June-July, 2015

CONTENTS

TEXAS HEALTH HARRIS METHODIST ALLIANCE HOSPITAL EMERGENCY DEPARTMENT (3H) ITENSIVE CARE UNIT(0.5H) MEDICAL SUGERY PATIENT ROOM(0.5H) WOMEN CENTER(1H)

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER SHREVEPORT EMERGENCY DEPARTMENT(5H), UNIVERSITY HEALTH [ADMINISTRATION (2H) INTENSIVE CARE UNIT (8H) DAY SURGERY (3H) PATIENT TOWER (5H) CHILDREN CENTER (5H)] AMBULATORY CARE CENTER (7H) WOMEN&CHILDREN CLINIC (3H) LIABRARY & HISTORY COLLECTION (2H)

OBJECTIVES

Through this hospital observation internship, I want to get better understanding of outpatient and inpatient medical services. Including the function layout, work flows as well as circulation organization. And then get the key design features for different medical departments. And also, I want to do some analysis for existing building design and their usage in reality, to find the difference and gap between each other. And try to figure out why the building usage in reality is not as planned in architects’ design.

JUNE 10TH 2015 5 HOURS EMERGENCY DEPARTMENT (3H) ITENSIVE CARE UNIT(0.5H) MEDICAL SUGERY PATIENT ROOM(0.5H) WOMEN CENTER(1H)

Introduction Texas Health Harris Methodist Alliance Hospital is a community hospital, belonging to Texas Health Resources. It is located in north Fort Worth Region, serves several communities around.

It provides Emergency Department, Heart and Vascular, Imaging, Intensive Care, Occupational Health, Rehabilitation, Respiratory Therapy, Surgery, Women and Infants Care, these kind of services. The total area is 185,000 sqf.

It was designed by Perkins Will and finished construction by Beck Group.

Sean Wilson, the director of healthcare team in Beck Dallas Office, arranged two healthcare designers (Kara Kinsey, Joshua Atria) and I this precious opportunity to shadow this newly built hospital. Ms Christine Walker who is the director of Emergency Services, lead us primarily to visit the emergency department and introduce a lot of details about the normal activities in ED. After that, she lead us to go through ICU, Medical Sugery patient room & Women Center and covered a lot during this visit.

MOB Entrance

Main Entrance Women Center Entrance

MOB Entrance ED Entrance ED Ambulance Entrance Service Entrance

The master plan layout is in a quite simple and efficient way. Building is in the center of the site, round circle road connects multiple entrances of different department and different parking lots. Specific parking is just next to the corresponding deparment. Three roads reach out to the surrounding Streets.

02-2015 The only disadvantage is the left half of visitor’s parking lots are a little bit further from the Main Entrance of hospital.

PRIMARY FUNCTION LAYOUT OF ED

MAIN ENTRANCE

AMBULANCE ENTRANCE Exam Room/ Treatment room Nurse Sation & Physician Working Area Patient Waiting Area Reception/ Triage Spaces Office/ Cash/ Financial Consultation

(It is quite compact and efficient function layout. They separate the normal circulation and ambulance circulation. Nurse stations and working areas are arranged in the center part of ED, two sides of main corridors connects two nurse station and 15 served rooms. Triage and consultation rooms are planned near the waiting area. At the end of waiting area, there is a door connected with the main hospital space. Although it is not a big ED, but it still serves for 33,000 patients each year. )

RECEPTION PATIENT WAITING AREA

WAITING AREA

DROP OFF

VESTIBULE It is a transparent entrance, right next to security room. They put several wheelchairs at double sides of vestibule. Although, the vestibule is spacious, it still may influence the traffic of the entrance.

They can put outside near the drop-off area.

WAITING AREA

RECEPTION DESK (Pretty new and well fabricated, just locates in front of main entrace.)

PATIENT WAITING AREA (There are two waiting areas arraned at double sides of vestibule. It has single waiting seats, also has family waiting seats around the table. They provide flexible waiting choices for people. )

ED WAITING STATISTICS OF HARRIS METHODIST ALLIANCE HOSPITAL

(We visited the emergency department on a wednesday afteroon, when we arrived there, there were 6 -8 people stay in the waiting area, some of them are patients’ family members. Christine told us there is more visitors in the morning. During the serveral hours staying there, I noticed that the time patients spend on waiting is less than half an hour.)

Reference Source: https://projects.propublica.org/emergency/hospital/670085

TRIAGE SPACE & SOIL AND CLEANING UNIT

The designers arrange 2 triage rooms separately at the beginning of the 2 main corridor. Which might be reasonable from designer’s imagination of flow works.

But in reality, MS Christine told us, they expected there should be a direct connection between two triage room. Or else, the nurses have to went to another triage room through main waiting area. Which may effect and increase the circulation in patient waiting area. Cause, triage is more like a semi-private function, it does not need too much high level of privacy as patient rooms or exam rooms.

After a discussion, they decided to create a door, between two triage rooms.

SOIL ROOM

CLEAN ROOM

For the whole emgency department, 15 served rooms, they just have one small suite for holding soil and cleaning utility. Christine told us they are always full, they need more space for holding wastes and disposals.

TREATMENT ROOM

CABINET

TREATMENT BED

SLIDING CURTAIN

MEDICAL DISPOSAL BAG

The treatment rooms are universal size and layout. Cause all of the treatment using transparent glass door, they have to put sliding curtain behind them to provide patients’ privacy during the treatment.

Usually the cabinet is near the door which provides spaces for physicians to hold medical supplies and do preparation work. There is a monitor which can be used to track the patient information and medical records. On the behind wall, there are a bunch of devices for treatment. In each treatment room, they are using separating trashcan for normal wastes and medical disposals. But normal ones are scarecely used in treatment rooms, Christine said.

RESUSCITATION & ISOLATION AND EXAM ROOM

2 resuscitation rooms are arranged near ambulance entrance, and EMT louge is just behind them. The inside space is much bigger that exam rooms or treatment rooms.

For the isolation room, a separate toilt combined inside of it. Also, there is another special decontamination room before people going into isolation space.

4 exam rooms are a little bit further from nurse station. Also, they are on the other side of corner, it is inconvenient for service.

NURSE STATION & STAFF WORKING

NURSE STATION NURSE STATION

Desiners gave the same size of area for Nurse Station 1 and Nurse Station 2. Nurse Station 1 serves these treatment room upwards, Nurse Station 2 serves the four exam rooms and two main resuscitation rooms. Usually, at most times, resuscitation rooms are unoccupied, which means Nurse Station 2 has less objectives to serve for. That is contradictory situation that need designers to pay attention to, and consider more activity details which will happen in their propsal Space.

For the staff working area, Christine said they want some private working space. Sometimes, they can not find a private space to receive a phone call.

Christine complained to us, their storage room is not only small but also unintelligent. Usually when people walking into the room, the light should be turn on immediately. But the sensor in this room (also soil & clean room), the sensor is installed deep inside the room. Which means until people walking into the dark space, then light turn on.

STAFF LOUGE & CONSULTATION ROOM

STAFF LOUNGE In the emergency department, there is very limited space for staff break, all of physicians in ED share a small lounge room, and the lounge room is at the very end of corner of ED, too far away from nurse station and working area. Also, this arrangement will increase the possibilites of circulation intersection.

CONSULTATION ROOM In order to respect the privacy of patients and their family members, this room is designed to be completely closed.

ICU & MEDICAL SURGERY PATIENT ROOM

MEDICAL SURGERY PATIENT ROOM ICU PATIENT ROOM

It is more spacious for the ICU patient room, compared with medical surgery patient room. It has longer sofa inside which can provide family visitors a sleeping area. But the critical problem of the design is there is no restroom inside. Designers just proposed a covered toilet, and there is even no curtains around it to provide privacy. Although, ICU is in 3rd floor, but people still may feel weird when they are using it.

ICU CORRIDOR & STAFF LOUNGE

When passing the corridor of ICU wing, it is wide and clean, many alcoves are set along the corridor, wheelchairs can be put inside the alcoves temporarily, and keep the corridor unobstructed.

When talking about staff breaking space in ICU, Christine complained to us that she can not believe why designers give 14 physicians only a 20 sqf breaking room with a little unisex toilet. And there is no shower space for them, they have to go to OR if they need to take a shower.

MAIN LOBBY & WOMEN CENTER ENTRANCE MAIN LOBBY Pretty well constructed, it looks like an office lobby. The only disadvantage is there is little direct sunlight in the lobby, they have to turn the light on during the day

1ST FLOOR Another heightlight of Design is the seperated entrance for women center.

4TH FLOOR

There are two lobbies for women center seperately locating in 1st level and 4th level. 1st level is just a small space connected with a vestibule, originally this space is used for preliminary reception/ consultation, but cause there is another main reception in the 4th floor, nomally 1st floor lobby is just a passing-by space.

Taking the double sided elevator, patient can reach 4th floor. for the fire execution, there is a staircase connected with 4th floor lobby and ground level, but the staircase does not going through the 1st floor lobby.

This deisgn can effectively protect female patients’ privacy and distinctively seperating the patient flow inside the building.

JULY 13TH-17TH 2015 40 HOURS EMERGENCY DEPARTMENT(5H), UNIVERSITY HEALTH [ADMINISTRATION (2H), ICU (8H), DAY SURGERY (3H),PATIENT TOWER (5H), CHILDREN CENTER (5H)] AMBULATORY CARE CENTER (7H), WOMEN&CHILDREN CLINIC (3H) LIABRARY & HISTORY COLLECTION (2H)

INTRODUCTION Louisiana State University Health Sciences Center Shreveport, also known as LSU Health Shreveport, is an academic center for medicine and medical research in Shreveport, North Louisiana, in the United States. It is part of the Louisiana State University System.

The reason why I choose to do my observation here is it is more like huge health complex, including research institue, medical school, inpatient service, out patient service, even cancer center. I think it is more challenging to get understanding the campus planning and the work flow of different department.

My fiancee works in LSU Health Science Center. She refered me to University Health Hospital administration office. After I introduced my intension, they allowed me to stay around in most part of hospital, except critical region, like OR, ICU, Imaging. They also suggested me that never take photos of patients.

AERIAL DIAGRAM OF LSU HEALTH CAMPUS T ula n

Mollie Webb S peec h & Hearing C enter

e

Hos pital

E mergency R oom E ntrance

FR E E P atient P arking

K -W i n g

Women’s & C hildren’s C linic

Allied Health W

w oodro

B ui ld in g B

L inwood

Me d i c a l S c hool

S tudent Union

C linical Trials and Academic C omputing

L ib r a r

B iomedical R es earch Ins titute and Medical S chool E as t E ntrance

y

g i l d in B u A are C

Co

mp

.

min A dld i n g i Bu

S elf P ay P arking D owd e ll

P ediatric C ancer P atient P arking ONLY

er e ill s t- W e r F e iC a n c r te n e C

K

wa y igh sH g n i

S elf P ay P arking

Medical S chool North E ntrance

E ye C enter

Valet P arking

I -4

S elf P ay P arking

9

A mbulatory C are C linic

N

Hos pital North E ntrance

Bolinger Street

Bolinger Street

Patient parking Reserved patient parking Self-pay parking

N

18

Employee parking Crosswalks

Wilkinson Street

W. Kirby Place

William Avenue

Dowdell Street

Linwood Avenue

Glen Oak Place

7

6

13 Kings Highway

49

Kings Highway

17

3

1

8

Shriners Hospitals for Children

5

14 10

15

Jennings Street William Avenue

12

Jennings Street

Samford Avenue

11

4

Woodrow Street

Woodrow Street

2

16 ue

Claiborne Street

N

Linwood Avenue

Hilliard Street

W

E S

Highway

Youree

Cascade Avenue

Edwin Street

1

9

McWillie Street

Blair Drive

dustrial Loop Expressway

Tulane Avenue

Dickinson Street

ven tA

en

inc

V St.

CAMPUS PLANNING

1 School of Medicine 2 Allied Health 3 LSU Hospital 4 Emergency 5 Biomedical Research Institute 6 Ambulatory Care Center 7 Women’s and Children’s Clinic 8 Feist-Weiller Cancer Center 9 Mollie E. Webb Speech & Hearing Center 10 Clinical Research Building 11 Administration Building 12 Radiation Therapy Center 13 Eye Clinic 14 Patient Admitting (K-Wing) 15 Physical Plant 16 Student Union 17 Comprehensive Care 18 Human Research

Bolinger Street

Bolinger Street

Patient parking Reserved patient parking Self-pay parking Employee parking Crosswalks Wilkinson Street

Handicapped entrances/parking Dining / ATM machines / Elevators Shuttle stops / Employee parking info

W. Kirby Place

William Avenue

Kings Highway

Dowdell Street

Linwood Avenue

N

Glen Oak Place

49

Kings Highway

Emergency

Samford Avenue

Jennings Street William Avenue

Jennings Street

Woodrow Street

Woodrow Street

ue

Claiborne Street

Linwood Avenue

Hilliard Street

d Cascade Avenue

Edwin Street McWillie Street

Blair Drive

Tulane Avenue

Dickinson Street

ven tA

en

inc

V St.

ENTRANCE LAYOUT FOR ED

There are 3 entrances designed for ED, it is necessary to separate ambulance entry and normal ones, but the problem is sub entry is combined with main entry of hospital, there is another drop off space for main hospital, this makes visitors really confused. When visitors coming to ED, they drop there patients off in front of sub entry, it will decrease the drop off efficiency for the hospital main entrance. That is why they put up a sign to make it clarified, but a lot of patients do not notice it, still drop off near the main entrance of hospital.

Drop-off Entry (Main Entry) ED

Sub Entry/Exit

Ambulance Entry

FLOOR PLAN OF EMERGENCY DEPARTMENT The basic layout of emergency room is based on “on & off stage “ concept. For each exam room, there are two doors. One is for patient, the other side is for physicians. Two main corridors connects exam rooms . It is efficient. Triage rooms are arranged on one side of corridor, this may cause the patient circulation repeated.

MAIN HOSPITAL

SUB ENTRANCE SERVICE CORRIDOR PUBLIC TLT

MAIN ENTRANCE PATIENT WAITING

Waiting Area

Reception

Triage

Exam Room

Staff Work Area

(Design of the door in the main entrance is problematic , turnstile is inconvenient for the handicaped using wheelchair, but the handicaped door button is on the exit side. Two doors should be switched with each other)

MAIN ENTRANCE

ED POLICE (Some prisoners may get into ED for diagnosis, police will accompany with them.)

LOBBY

SELF DIGITAL REGISTRATION

CORRIDOR A (to exam room 1-10 &10-48) SIGN IN

BOOTH 1-4 4 (On each reception desk, there are hand sanitizer & napkins, it is humanized consideration. But 4 reception desks might be too RECEPTION 3 many, cause during my observation, visi2 tors is not continous, 2 desks are enough.)

1 TRIAGE A-C C B A CORRIDOR B (to exam room 11-39 & Xray CT) PUBLIC TLT

SUPPORT (Vending machine, TLT, CORRIDOR elevator, telephone, to main hospital and sub entrance/exit)

8’ PUBLIC TLT

WAITING A (11 seats)

2

1

(Seats combination WAITING B (11 seats) is flexible and convenient, people can lay down and take a rest) WAITING C (11 seats) OVER 45’ WAITING D (11 seats) (Waiting area is big, staffs always stand in front of triage corridor call the patient name loudly, a screen shows the sequence and a speaker will help them a lot.)

CHILDREN WAITING (Transparent glass wall, it is easy to watch children. In this room, there has to be parent accompanying, but I still found some adults occupied this room.)

VISITORS TRACKING FOR ED Occupied Seats 54 48 42 36 30 24 18 12 06 08:30

09:30

10:30

11:30

12:30

Time

TIME TRACKING FOR ED PATIENT CIRCULATION 3-5MIN

60MIN EXAM ROOM

TRIAGE

WAITING AREA

SIGN IN/ REGISTRATION

ENTERING

45-55MIN 10-15MIN

LEAVING

I tracked 3 patients’ time they spent during their visit.

ER WAITING OF UNIVERSITY HEALTH IN SHREVEPORT

The time that I tracked before is pretty close to the statistics on the website. Sometimes, patients will spend much longer time on waiting .

Reference Link: https://projects.propublica.org/emergency/hospital/190098

During the several hours staying at the emergency department, I found that the biggest problem here is long waiting time for patients . Normally, patients have to wait over an hour to enter exam and get medical service. Most patients have to spend at least 2 and a half hour in ED from entering the door to stepping out. I believe it is quite suffering for patients’ weak physical condition.

When I am sitting in the waiting area, I found a lady next to me laying down the seats, she feels very uncomfortable, moaning all the time. But she waited there over an hour until got into the triage room under this crucial condition.

Shuttle stops / Employee parking info

W. Kirby Place

William Avenue

Dowdell Street

Linwood Avenue

Glen Oak Place

Kings Highway

49

Kings Highway

Samford Avenue

University Health (Main Hospital)

g)

William Avenue

Woodrow Street

Woodrow Street

ue

ven tA

cen

Claiborne Street

Linwood Avenue

Hilliard Street

y

Jennings Street Jennings Street

in t. V

S

FLOOR FUNCTION OF UNIVERSITY HEALTH (MAIN HOSPITAL) Dickinson Street

Ground floor 3rd floor Cafeteria Day Surgery Operating Rooms SICU Health Information Management (Medical Records) Neurosurgery ICU Social Services Cardiopulomary Endoscopy 1st floor 4th floor Hospital Administration Patient Information Newborn Nursery Heart Station Labor and Delivery (K-Wing) Patient Rooms Echo Lab 5th floor Burn Unit Pediatrics, including NICU and PICU Rehabilitation 6th floor Special Procedures/Cath Lab Patient Rooms 2nd floor 7th floor Radiology MICU Ultrasound Patient Rooms MRI 8th floor X-Ray CT Scan EEG/Sleep Lab Patient Rooms (K-wing) Nuclear Medicine Clinical Lab 9th floor Patient Rooms (K-wing) Cascade Avenue

Edwin Street

McWillie Street

Blair Drive

Tulane Avenue

QUICK GLANCE OF UNIVERSITY HEALTH PROS:

Near every elevator/ staircase, it shows the local floor plan and evacuation path.

CONS:

There should be hand sanitizer near the elevator in each floor. But I found in some floor, it is empty on the holder. These floors are primarily most visited department which has more people.

Near every intersection of corridor, there will be a safety mirror, it can notice the nurse and working staff is there any people coming beside the other side of corner.

I find that this is the common scence in University health. Corridors are occupied by Patients’ beds. Some corridors are service function, but some are not. It might mean the storage space is not enough in the hospital.

Way finding system. In the lobby, there must be signs to show the floor function and how to get specific section of this floor.

Waiting seats are not well planned. some of them are right next to the locker, some of them are hided by vending machine. Floor 3 always has more visitors, but the seats are not enough.

DROP-OFF

TERRACE GARDEN

Drop-off circle connects 3 main functions, very efficient. Main entrance of hospital is well designed, lots of trees, also including a garden below the ground level.

SINKING GARDEN

TO K-WING PUBLIC ELEVATOR SERVICE ELEVATOR

REHABILITION SERVICE

TO HEART STATION

FLOOR DIRECTORY

ADMINISTRATION

TO MEDICAL SCHOOL

TO EMERGENCY LOBBY &RECEPTION

MAIN ENTRANCE

LOBBY SPACE

TO MAIN LOBBY

FINANCIAL CONSULTATION

GIFT SHOP

CHAPEL RECEPTION ADMITTING

FINANCIAL CONSULTATION

K-WING ENTRANCE

LOBBY

UNIVERSITY HEALTH_LEVEL 03 ICU & DAY SURGERY

Day surgery waiting is too far from the unit, to make patient family member more conveniet, they provide a digital monitor on the wall of day surgery waiting room, in order to track patient’s surgery process.

TO PACU

RECEPTION/ CONSULTATION

TO DAY SUGERY

TO SICU

LOBBY Sometimes, the waiting rooms are full of people, they arrange a lot of seats in the lobby. Which means the waiting area is not enough in floor 3. Also, the problem is lobby is the intersection of different circulation, most times, there will be patient beds going back and forth, if too many people stay in the lobby, it will affect the normal circulation.

NSICU MANAGEMENT TO ENDOSCOPY CLINIC

TO NSICU

SICU waiting NSICU waiting Day Surgery waiting Endoscopy waiting RECEPTION FOR ENDOSCOPY CLINIC

TO NSICU TELEPHONE ALCOVES

PASSING CODE SICU WAITING B

NSICU WATING

TV EQUIPMENT VENDING ALCOVE

SUPPLY ROOM

LOBBY

TO ENDOSCOPY CLINIC SICU WAITING A

PUBLIC TLT (Combined with shower inside, it is convenient for patient family member staying overnight)

MAIN CORRIDOR

KITCHEN COUNTER (tap, coffee machine, microwave equipped )

FLOOR PLAN OF DAY SURGERY WING

NURSE STATION & SUPPORT ROOMS

SURGERY ROOM

SURGERY ROOM

MONITOR ALCOVES

UNIVERSITY HEALTH_LEVEL 07 PATIENT ROOM

FLOOR PLAN OF PATIENT TOWER SERVICE ELEVATOR TO LOBBY/CRITICAL CARE

TO MICU

DIRTY & UTILITY

SHOWER SPACE

SERVICE ROOMS PUB TLT

REST AREA NURSE STATION

PATIENT ROOM

PATIENT ROOM

CONFERENCE ROOM

PATIENT ROOM

PUB TLT

PUBLIC ELEVATOR It is the main public elevator for K-wing. This elevator will take visitors directly to patient tower.

It is a typical racetrack floor plan layout for patient room. Nurse stations are in the center, convenient to provide service to patient rooms surrounded. Also, most of patient rooms are under the direct supervision of nurse station.

Two patients are sharing one room and a restroom. Sometimes, it is quite inconvenient. They use curtain to separate a room into two partition to solve the problem of privacy. In each patient room, there still has some chairs as family waiting area.

OUT OF RANGE

OUT OF RANGE

NURSE STATION

OUT OF RANGE

OUT OF RANGE

Cause it is the half open nurse station, there are some support rooms surrounding it.

In this case, some of patient rooms can not be watched directly, especially the corner patient rooms.

UNIVERSITY HEALTH_LEVEL 05 CHILDREN CENTER

Patient RM PICU NICU Nurse Station Medical Service

Service Elevator Public Elevator Waiting Area Service Room Staircase LOBBY

PLAYROOM PICU

PATIENT ROOM

PATIENT ROOM

NICU& PICU WAITING PUBLIC ELEVATOR (This elevator mainly serves king wing which primarly is patient room tower, people can get directly to NICU and do not need to going through main lobby.)

NICU RECEPTION MANAGEMENT

(TLT & Shower Combined inside, but it is a little further from PICU.) UTILITY

NICU

PATIENT COURTESY ROOM (For each drawing, it shows the name children and the date of drawing and when he/ she received medical treatment here. The corridor has been decorated as a small gallery.)

CHILDREN DRAWINGS IN CORRIDOR

TO KING WING PHYSICIAN WORK (Used for meeting & work)

PARENT WAITING (This room is for parent visitors temporary stay, cause every kid’s patient room has family staying area, so this space does not have to be large. )

NURSE STATION (In the center of 2 patient wings, it is efficient for taking care of both side patients and visitors, but making the main entrance crowded.)

TO PATIENT WING

PUBLIC TLT TO PATIENT WING CLEAN ROOM (The location is not proper, cause it is near the center of different circulation.)

KIDS’ PLAYROOM (Playroom is next to nurse station. It has windows on the wall. It is easy for staffs looking after the kids when they are playing)

LOBBY

PUBLIC ELEVATOR

STORAGE (It is a very efficient design for service circulation, wheerchairs/patient bed can be put inside)

SERVICE ELEVATOR

2

2

1

1

2

2

1. PATIENT ROOM (2 KIDS) (For each patient room there is a digital monitor to track patient information and medical records, and the name of kids will show under the room number on the door, it is quite convenient for patient family. ) 2. PATIENT ROOM (1 KIDS) 3. ISOLATION ROOM (1 KIDS) (For each isolation room, there is a little front room used by nurses to do some preparation work and store some medical supplies. Also, the double door can effectively reduce the possibility of air circulation with outside corridor. Near the nurse station, there is a control room which can turn the isolation room pressure into negative one.)

5

5

1

4

6

6

3

1

3

3

3

3

4 TREATMENT ROOM (For each patient wing, there is one treatment room.

Usually, nurse will do some special work and examination for kids, like blood collection. The nurse told me children are all afraid of entering treatment room, they further like staying their own room to do these kind of examination) 5. STORAGE ROOM (In front of storage room, there is a large alcove space which can holds wheelchair temporarily, and make the main corridor unobstructed.)

6. SUPPLY ROOM

Shuttle stops / Employee parking info

W. Kirby Place

urgery

Kings Highway

Ambulatory Care Center

William Avenue

on ctions

Dowdell Street

Linwood Avenue

N

Glen Oak Place

Women & Children Center

49

Kings Highway

Samford Avenue

ogy

William Avenue

Woodrow Street

Woodrow Street

e

nu

nt

e Av

ce

Claiborne Street

.

St

n Vi

Linwood Avenue

FLOOR FUNCTION OF AMBULATORY CARE CENTER Hilliard Street

ue.

Jennings Street Jennings Street

1ST FLOOR Information/Registration Phlebotomy/Blood Collections Rehabilitation Services Radiology/X-ray Diagnostic Bone Density Ultrasound Social Services Orthopaedic Clinic Partners in Wellness Breast Imaging/Mammography Cascade Avenue

Edwin Street

McWillie Street

Blair Drive

Tulane Avenue

Dickinson Street

2ND FLOOR Information/Registration Phlebotomy/Blood Collections Pharmacy HIM/Medical Records Psychiatry Clinic Psychiatry Faculty Clinic General Medicine Clinic Medicine Specialty Clinic Cardiology Dermatology Endocrine Gastroenterology/GI Nephrology Pulmonary Rheumatology Viral Therapy Cardiopulmonary/CKG

3RD FLOOR Information/Registration Phlebotomy/Blood Collections Pre Op Nurse Surgical Suite Infusion/Recovery Area Oral & Maxillofacial SurgeryClinic Surgery Clinic ENT Clinic/Otolaryngology Head/Neck Surgery Urology Clinic

A

A. Ambulatory Care Center 3 Floors

B.

B

Main Drop-off Entrance (Connective Vestubile)_2 floors

C

C. Women & Children Center 2 Floors

PUBLIC ELEVATOR SERVICE ELEVATOR

SECURITY VENDING AREA

STAFF CIRCULATION

WOMEN & CHILDREN

REGISTRATION

MAIN ENTRANCE PATIENT CIRCULATION BLOOD COLLECTION

REGISTRATION

CONNECTIVE VESTIBULE

FIRST FLOOR

SECOND FLOOR

THIRD FLOOR

The floor plan layout of ambulatory care center is the typical clinic layout. Patients and staffs circulations are separated at two different side of building. Different clinic sections are arranged in the middle part of building. Between different sections, there are sub-corridor to connect with. Layout is quite compact and effcient.

It is like the supermarket of tons of clinics. But the space inside is a little boring , large waiting area seems like the terminal of airport.

FLOOR PLAN OF AMBULATORY CARE CENTER

STAFF WORKING/SERVICE AREA

EYE CLINIC

ORTHOPAEDIC CLINIC

RADIOLOGY X-RAY

PATIENT WAITING AREA

MAIN CORRIDOR

RAHABILITATION

MAIN CORRIDOR

RECEPTION WAITING PUBLIC TLT The single door seems a little bit narrow for patients’ using wheelchairs.

WAITING AREA

RECEPTION WINDOW

FLOOR PLAN OF WOMEN & CHILDREN CLINIC

CHILDREN CLINIC

waiting area

CHILDREN CLINIC

clinic

CHILDREN CLINIC CHILDREN CLINIC

check in & registration

staff working & service main corridor sub corridor

REGISTRATION ROOM

KID MED TO MAIN VESTIBULE

(Using high window to bring light inside.)

RADIOLOGY BLOOD PEDIATRIC SPECIALTY CLINC

SUB ENTRY

DECORATION UNDER SRAIRWELL

TEG ARCHITECTS EXPANSION PLANNING

LSU Health New Facilities LSU Health Existing Facilities Shrinners Children Hospital New Facilities Shrinners Children Hospital Existing Facilities Veteran’s Affairs Hospital New Facilities New Parking Garages I saw this model in the library of LSU health, librarians permited me to take several photos of this model. Then I realized it is a new expansion planning model. Some of buildings are under construction. I hope LSU can provide much better medical service in the future.

Thanks a lot to those Beck architects who helped me to search and contact hospital and those hospital staffs who gave me detailed guidance and specific explanation during the shadow. Even though, sometimes it was complains to architects, it still helped me to getting better understanding your thinking, you r perspectives and your life. Through these observation opportunities, I become more familiar with the function layout, work flow, and circulations in healthcare facilities. And I notice that it is not easy to create a satisfying healthcare environment, as architects we need to go deep into the environment and find the problems, not just design something based on our imagination. Finally, thanks to the nurses and physicians’ hard work to the human being.