Medical Headwall Design Term Project

MEDICAL HEADWALL DESIGN TERM PROJECT PAT BEGLEY | NICK COLBERT | LINDSAY PERICICH | JIMMY SGROI

BEGELY | COLBERT | PERICICH | SGROI

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MEDICAL HEADWALL RESEARCH TERM PROJECT

WHAT IS A MEDICAL HEADWALL?

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INITIAL RESEARCH

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DESIGN TESTING

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WHAT WE LEARNED

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REVISED DESIGN

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THE RESEARCHERS

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WHAT IS A MEDICAL HEADWALL?

Medical headwalls can be found in nearly all emercency depatment patient rooms, from ICU to Medical-Surgey.

Typically situated against the wall behind the patient’s head as he/she lies in bed, a medical headwall provides all the major clinical functions and acuity needs for the patient. These functions include gas, power, data and communications, all of which are essential for a patient room to operate smoothly. These services need to be easily accessible by nursing staff members. Often times this results in headwall systems that have most, if not all, of the services exposed - which can be awfully intimidating to a patient and their family.

In recent years, the medical community has teamed with designers and architects to design medical headwall systems that are more aesthetically pleasing and comforting whilst still providing all the services one has come to expect within a headwall. This has resulted in more ergonomic designs and a recent trend of the utilization of a warmer material palette to increase the comfortability of patients and family members.

As designers, throughout this term project, we have aimed to emlpoy our expertise to further the recent development of medical headwalls. The project would have four stages: inital research, initial design, design testing, and revised design.

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MEDICAL HEADWALL RESEARCH TERM PROJECT

IMAGES COURTESY OF STEELCASE

BEGELY | COLBERT | PERICICH | SGROI

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INITIAL RESEARCH Concept 1

CONCEPT 1 AXON VIEW

Our first concept design focused on shielding the various plug-ins associated with headwalls from the patient and patient’s family. To achieve this, we employed two distinct design moves: placing the services on either side of the headwall, and lengthening the front face of the headwall to hide the services. To allow for chords to travel where needed, a slit was cut in the front face of the headwall. Also part of the design was a sliding art piece directly behind the patients head which would conceal additional services.

After reviewing this initial design, we felt there were certain aspects of the design that could be improved:

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access to the services by the nursing staff inconvience of routing chords and plugs through vertical slit

MEDICAL HEADWALL RESEARCH TERM PROJECT

CONCEPT 1 PLAN VIEW

CONCEPT 1 SIDE VIEW

CONCEPT 1 FRONT VIEW

BEGELY | COLBERT | PERICICH | SGROI

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INITIAL RESEARCH Concept 2

CONCEPT 2 AXON VIEW {3D} The initial1concept of shielding the headwall services found in Concept 1 was carried through to Concept 2 as well, though in quite a different fashion.

Concept 2 would be focused around the idea of a rotating column. The design consists of two rotating columns on either side of the patient which would house the all the headwall services. The columns can be docked at three locations:

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Closed - unoccupied room Idle - 45 degrees, plugs in use but not in direct use by nursing staff (would provide shielding of services from patient and family) Open - 90 degrees, in direct use by nursing staff

MEDICAL HEADWALL RESEARCH TERM PROJECT

11' - 11"

11' - 4"

8"

-8 " 0'

1' - 7"

0' -

5' - 6"

CONCEPT 2 PLAN VIEW

1' - 3"

Level 1 1 1/2" = 1'-0"

CONCEPT 2 SIDE VIEW

West 1/2" = 1'-0"

7' - 6"

1' - 6"

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CONCEPT 2 FRONT VIEW

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North 1/2" = 1'-0"

BEGELY | COLBERT | PERICICH | SGROI

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INITIAL RESEARCH Concept 2

HEADWALL RENDER I

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MEDICAL HEADWALL RESEARCH TERM PROJECT

HEADWALL RENDER II

After our initial design of Concept 2, began to think about materials. We believed the use of a combination of wood and plastic would create a comfortable aesthetic. Here are two possibilities.

BEGELY | COLBERT | PERICICH | SGROI

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DESIGN TESTING

Throughout the research and design phases of the project, we had the good fortune to work with and consult numerous medical professionals. This did not end once we reached the design testing phase of the project, when we would build a full scale mock-up of our design. Shield Casework did us the favor of CNC cutting our foamcore pieces for the mock-up. The University of Kansas Medical Center provided a handful of nurses to examine and critique our headwall designs.

The University of Kansas Medical Center also provided us with a design mock-up space located on their Kansas City campus. This would allow us to construct the full-scale mock-up of our design, which would give the nurses the sense that they were within an actual emercency department room with our headwall design.

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MEDICAL HEADWALL RESEARCH TERM PROJECT

BEGELY | COLBERT | PERICICH | SGROI

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WHAT WE LEARNED

Overall our design was very well received by the nurses at the University of Kansas Medical Center. They appreciated that our design called for the headwall being wall mounted and raised at least 6� off the floor to allow for rolling equipment to pass beneath it. They appreciated that our design provides a lot of storage options for items that they need to access frequently, and would allow them to never turn their back on a patient. It was also noted that our design would function as a behavioral swing zone because the rotating columns could easily be shut and locked, while maintaining the aesthetics of the room and environment.

The nursing staff also offered us a lot of constructive criticism. Some of the things that they mentioned that would improve the design were:

-a swining monitor that could be moved to either side of the bed -pullout drawers in the columns that would hold gloves, masks, and other equipment needed on a regular and immediate basis -an ironing board style fold down table for writing, setting medications, etc, -locate outlets in other areas of the room to keep family members from using headwall outlets

The one thing that our design is lacking is easy access to the patient head. There was concern over the amount of space that the headwall design took up in the room.

The solution could be to create a curved cubby space to allow for hospital personnel to easily access the patients head space while still utilizing the rotating columns of the headwall.

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MEDICAL HEADWALL RESEARCH TERM PROJECT

TRANSFORMING ED ROOMS FROM COLD AND UNWELCOMING TO WARM AND COMFORTING

BEGELY | COLBERT | PERICICH | SGROI

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REVISED DESIGN

REVISED DESIGN

With our last iteration we looked to incorporate the nurse’s suggestions into our design.

Multiple changes were made. First, cabinet space was added to either side of the headwall. These cabinets would hold a multitude of supplies including gloves, masks, and additional equipment. Second, we carved a shallow curve into the headwall to allow space to for head access. Third, a sliding desk was incorporated into the design of the cabinets. With this, a keyboard could be installed on both sides of the bed with remote access to the monitoring system. Lastly, a monitor is to be placed above the bed and patient’s head. Additionally the monitor would be placed on a swivel for nurse use on either side of the bed.

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MEDICAL HEADWALL RESEARCH TERM PROJECT

AXON VIEW

REVISED DESIGN PLAN VIEW

REVISED DESIGN SIDE VIEW

REVISED DESIGN FRONT VIEW BEGELY | COLBERT | PERICICH | SGROI

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MEDICAL HEADWALL RESEARCH TERM PROJECT

REVISED DESIGN

With design consideration from our team as well as The University of Kansas Medical center, we were able to design a unit that is both a functional and aesthetically favorable.

BEGELY | COLBERT | PERICICH | SGROI

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THE RESEARCHERS

Patrick Begley

Nick Colbert

2ND YEAR GRADUATE STUDENT

4TH YEAR STUDENT

MEDICAL HEADWALL RESEARCH TERM PROJECT

Lindsay Pericich

Jimmy Sgroi

2ND YEAR GRADUATE STUDENT

2ND YEAR GRADUATE STUDENT

BEGELY | COLBERT | PERICICH | SGROI

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ARCHITECTURE OF HEALTH | ARCH 731 | FRANK ZILM | SPRING 2015

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MEDICAL HEADWALL RESEARCH TERM PROJECT