Thesis Research | Volume 2

Designing for Children A Pediatric Ophthalmology Center in Kuwait

Thesis 2018 | Volume 2 Reem S. Bukhamseen 1

2

Contents 4-5

Statements

6-9

Inspiration

10 - 11

Site Plan

12 - 15

Process Work

16 - 17

Floor Plans

18 - 19

Section

20 - 22

Codes

23 - 25

1st Set Renderings

26 - 27

Materials

28 - 31

2nd Set Renderings

32 - 33

Materials

3

Thesis Statement Clear wayfinding in healthcare facilities provides patients, guests and staff a simple system of navigating through the hospital without additional stress when reaching a final destination. The usage of sustainable materials and practices in the facility will reduce overall facility maintenance and energy costs over the center’s lifespan.

Integration of indoor garden spaces, both visually and functionally accessible to all users of the facility, will increase staff productivity, progress healing, and enhance the patient’s experience. Implementation of specialized spaces that cater to the users well-being will provide satisfactory patient visits, boost staff interaction and health, and will leave the end user with a positive outlook on healthcare facilities in Kuwait.

4

Concept Statement Inspired by the sporadic growth of vegetation in select areas throughout the desert landscape of Kuwait, the Pediatric Ophthalmology Center will implement multiple indoor garden spaces that serve as self-sustaining ecosystems, working to harvest energy to maintain themselves and fuel the surrounding activities.

The Center will use these garden spaces as healing gardens, spaces for children to interact and play, as well as become focal points within the facility as the wellness services and activities will be located along it’s perimeter. Overall, the placement, function, and character of these gardens will allow users to easily navigate throughout the facility using the gardens as landmarks to distinguish different sections within the Center. No matter where a user is within the space, he or she will always have access to natural light, outdoor views, or green spaces.

Organic elements within the facility design are derived from abstracted forms that are shared amongst the native plant species of Kuwait. While the color palette is extracted from the flowers the species blossom. More structured circular forms are inspired by shapes found within the human eye, hinting at the facilities main focus while creating spaces children and visitors feel safe and excited to occupy.

5

Behind the Inspiration With Kuwait’s harsh arid climate, vegetation has adapted in order to survive in salty soils with limited water supply. Native plant species have developed different methods to not only withstand the climate, but also contain water. With roots deeper than the plant stems themselves, plant species are scattered throughout the landscape in order to reach unseen levels of ground water. On the surface level, the plants are seen to grow in almost a random pattern, but this in fact is an indication that the species have managed to reach ground water from that very spot.

The gardens placed within the facility will experiment with the indoor/ outdoor relationship between the plant species and the users as each garden will serve a different function. Using gray watering systems, native plant species and solar powered devices to harvest energy throughout the day, the gardens will act as individual plant systems surviving on their own mechanisms.

Integration of indoor garden spaces, both visually and physically accessible to all users of the facility, will increase staff productivity, progress healing, and enhance the patient’s experience.

6

7

Inspiration Plant Growth In Kuwait’s Desert

Photos by Aziz Al Mutawa ‫تصوير عزيز المطوع‬

8

Form Studies Repetitive Forms in Native Plant Species

9

The entire building’s roof structure is covered with solar panels. This will allow the facility to store solar energy and put it to use when in need or to start powering all the facility’s running necessities over time.

10

Site Plan Current Site

Jaber Al-Ahmad AlSabah Hospital

Housing District : Block 1

SITE

Pediatric Ophthalmology Center

Housing District : Block 7

International Islamic Charitable Organization

Ministries Zone

11 400 ft

Process Work Preliminary Parti Diagram

Garden Spaces

12

Process Work Preliminary Block Diagram

Patient Rooms

Staff Spaces

Dr. Offices

Specialized Rooms

Staff Rooms + Staff Amenities

Service Rooms

Exam Rooms

Back of House Services

Wellness Center

Garden Spaces

Reception + Public Amenities

Multipurpose Rooms

Children Play Spaces

Pharmacy + Service

Diagnostic Rooms

13

Process Work Preliminary Floor Plan Level 1

Emergency Department

Head Nurse Office

Shared Inpatient Rooms

Children’s Play Room 10-15 Ward

Nurse Station

Nurse Station Shared Inpatient Rooms

Private Inpatient Rooms

0-9 Ward

Pharmacy

Procedure Rooms

Procedure Rooms

Exam Waiting Spaces

Diagnostic Waiting Area

Exam Rooms

Diagnostic Rooms

Main Reception

0

14

5

10

15

20

Process Work Preliminary Floor Plan Level 2

Kitchen

Surgical Theatre

Staff Cafe

Open Work Space

Surgery Entrance / Prep

Nurse Station

Shared Inpatient Rooms

Auditorium

Private Inpatient Suites

Surgery Ward

Shared Doctor Offices

Procedure Rooms Gym Lounge Seating

Conference Rooms

Surgery Reception / Waiting

0

5

10

15

20

15

Floor Plans Finalized First Floor Plan

21 36 20

40 38

39

37 22 19 35

16 17 34

15

14

18

32

31

30

33

13

29

3

11

2

10

6

25

12

8

26

9

27

28

1

7 4

24

5 23

0

1. Reception Area.

2. Check-In Desk.

3. Pharmacy.

4. Exam Room Waiting Area.

5. Exam Rooms 6. Nursing Mother’s Room.

7. Storage Room.

8. Indoor Garden.

9. Prayer Rooms.

10. Procedure Room.

11. Dressing Room.

12. Doctor On Call Room.

13. Private Inpatient Suite.

16

14. Shared Inpatient Suite.

15. Nurse Station.

16. 0-9 Ward.

17. Medical Records Room.

18. Medicine Storage.

19. Children’s Play Room.

20. Head Nurse Office.

21. Storage Room.

22. Outdoor Garden Space.

23. Diagnostic Rooms.

24. Diagnostic Waiting Area.

25. Doctor On Cal Room.

26. Indoor Garden Space.

27. Prayer Room.

28. Procedure Room.

29. Private Inpatient Suite.

30. Shared Inpatient Room.

31. Nurse Station.

32. 10-15 Ward.

33. Medicine Storage.

34. Medical Record Room.

35. Children’s Play Room/Lounge.

36. Emergency Department.

37. Private Inpatient Suite.

38. Doctor On Call Room.

39. Minor Surgery Room.

40. Emergency Reception / Entrance.

5

10

15

20

Floor Plans Finalized Second Floor Plan

32 1

33 2 31

30 34

3 4 27 29

28

5

25

7

24 23

OVERHEAD CANOPY

22

6 26

15 21

9

8

10

19

20

OPEN TO BELOW

13

11

18

16

12

17 14

0

1. Prayer Room 2. Kitchen.

3. Staff Cafe.

4. Open Work Space.

5. Shared Doctor Offices.

6. Outdoor Seating.

7. Auditorium.

8. Indoor Gym. 9. Outdoor Bridge.

10. Prayer Room.

11. Nursing Mother’s Room.

12. Medium Conference Room.

13. Large Conference Room.

14. Booth Seating.

15. Storage Room.

16. Surgery Reception / Waiting Area.

17. Nursing Mother’s Room.

18. Storage Room.

19. Dressing Room.

20. Procedure Room.

21. Private Inpatient Suite.

22. Shared Inpatient Room.

23. Nurse Station.

24. Surgery Ward.

25. Medical Record Room.

26. Medicine Storage.

27. Head Nurse Office.

5

10

15

20

28. Storage.

29. Indoor Garden.

30. Sub Sterile Room.

31. Surgery Room.

32. Theatre.

33. Waste Closet.

34. Indoor Garden.

17

18

Section cut view of the left side of the building, while also showcasing the exterior facade. The exterior stone cladding is local to Kuwait and can withstand dust storms while requiring minimal cleaning. The exterior glass is tinted, minimizing the heat and direct light entering the interior spaces.

19

Accessibility Code Calculations Occupancy Classifications

Level 1, Section A

1. Institutional (I-2) (I-4) 2. Assembly (A-2) (A-3) (A-4) 3. Business (B) 4. Storage (S-1) 5. Mercantile (M)

Age 0-9 Ward Reception Area

Child Day Care................................................ Institutional (I-4) Employee Rooms............................................ Institutional (I-2) Patient Rooms................................................. Institutional (I-2) Unconcentrated Assembly ............................ Assembly (A-3) Standing Space............................................... Assembly (A-3) Mercantile Pharmacy....................................... Mercantile (M) Storage Rooms................................................ Storage (S-1) Doctor Offices................................................. Business (B) Indoor Sporting, Gym..................................... Assembly (A-4) Assembly Restaurant...................................... Assembly (A-2) Occupancy Factors Child Day Care................................................ 15 Net Employee Rooms............................................ 240 Gross Patient Rooms................................................. 120 Gross Unconcentrated Assembly ............................ 15 Net Standing Space............................................... 5 Net Mercantile Pharmacy....................................... 60 Gross Storage Rooms................................................ 300 Gross Doctor Offices................................................. 100 Gross Indoor Sporting, Gym..................................... 15 Net Assembly Restaurant...................................... 200 Gross

Diagonal For Egress: 169’ 4” Building Sprinklered: Yes Max Travel Distance to Exit: 169’ 4” Distance between Fire Rated Stair Towers / Exits minimum: 84’ 6” Minimum Egress Corridor Width Group I-2: 96” Group B: 44” Outpatient Rooms: 72”

Head Nurse Office.......................................... 366 Storage Room..................................................119 Children’s Play Room.......................................1861 Nurse Station................................................... 498 Medical Record Room.................................... 383 Medical Storage Room................................... 291 Shared Inpatient Sleeping Rooms................. 2222 Private Inpatient Sleeping Rooms..................786 Doctor On Call Room..................................... 262 Dressing Room................................................ 119 Procedure Rooms............................................ 581 Nursing Mother’s Room.................................. 173 Prayer Rooms...................................................180 Exam Rooms.................................................... 1253 Waiting Rooms.................................................1440 Reception ........................................................ 5120 Pharmacy.......................................................... 452 Occupancy Loads Level 1, Section A Head Nurse Office.......................................... 25 Storage Room..................................................1 Children’s Play Room.......................................124 Nurse Station................................................... 34 Medical Record Room.................................... 2 Medical Storage Room................................... 1 Shared Inpatient Sleeping Rooms................. 19 Private Inpatient Sleeping Rooms..................7 Doctor On Call Room..................................... 3 Dressing Room................................................ 24 Procedure Rooms............................................ 3 Nursing Mother’s Room.................................. 12 Prayer Rooms...................................................36 Exam Rooms.................................................... 13 Waiting Rooms.................................................96 Reception ........................................................ 342 Pharmacy.......................................................... 8 _______________________________________ Total Number of Occupants Level 1, Section A = 750

Required Exits

Occupancy

Four exits required on each story because occupancy load per level is more than 1000.

Door Size Required to Comply with ADA Standards: Minimum 32” 20

Total Sq. Footage Level 1, Section A

Maximum 48”

WC

Lavatories

M

F

Child Day Care

2

Employee Rooms Patient Rooms Unconcentrated Assembly Standing Space Mercantile Pharmacy

1

WF

S. S

M

F

2

2

2

1

1

1

1

1

1 1 1 1 1

1 1 1 1 1

4 Total

4 Total

1 1

1 1

1 1

1 1

1

1

1

1

Accessibility Code Calculations Level 1, Section B

Level 2, Section A

Age 10-15 Ward

Age 10-15 Ward

Total Sq. Footage Level 1, Section B

Total Sq. Footage Level 2, Section A

Head Nurse Office.......................................... 366 Storage Room..................................................119 Children’s Play Room.......................................1861 Nurse Station................................................... 498 Medical Record Room.................................... 383 Medical Storage Room................................... 291 Shared Inpatient Sleeping Rooms................. 2222 Private Inpatient Sleeping Rooms..................786 Doctor On Call Room..................................... 262 Dressing Room................................................ 119 Procedure Rooms............................................ 581 Nursing Mother’s Room.................................. 173 Prayer Rooms...................................................180 Exam Rooms.................................................... 1253 Waiting Rooms.................................................1440

Kitchen..............................................................679 Staff Cafe Seating............................................1406 Shared Open Work Space.............................. 1988 Doctor Offices..................................................971 Gym Room....................................................... 468 Mother’s Nursing Room.................................. 284 Conference Rooms..........................................1541 Booth Seating.................................................. 877 Auditorium....................................................... 1126 Storage Rooms ............................................... 446 Prayer Rooms...................................................875 Occupancy Loads Level 2, Section A Kitchen............................................................. 4 Staff Cafe Seating............................................94 Shared Open Work Space.............................. 133 Doctor Offices................................................. 10 Gym Room....................................................... 32 Mother’s Nursing Room.................................. 19 Conference Rooms..........................................103 Booth Seating.................................................. 59 Auditorium....................................................... 76 Storage Rooms ............................................... 2 Prayer Rooms...................................................88 _______________________________________ Total Number of Occupants Level 2, Section A = 620

Occupancy Loads Level 1, Section B Head Nurse Office.......................................... 25 Storage Room..................................................1 Children’s Play Room.......................................124 Nurse Station................................................... 34 Medical Record Room.................................... 2 Medical Storage Room................................... 1 Shared Inpatient Sleeping Rooms................. 19 Private Inpatient Sleeping Rooms..................7 Doctor On Call Room..................................... 3 Dressing Room................................................ 24 Procedure Rooms............................................ 3 Nursing Mother’s Room.................................. 12 Prayer Rooms...................................................36 Exam Rooms.................................................... 13 Waiting Rooms.................................................96 _______________________________________ Total Number of Occupants Level 1, Section B = 400

WC

Occupancy

WC M

Lavatories F

M

F

WF

F

Assembly Restaurant

1

1

1

1

1

1

Unconcentrated Assembly Standing Space Doctor Offices Indoor Sporting Gym Indoor Sporting Gym

1

1

1

1

1 1 1 1 1

1 1 1 1 1

Group A

200

Group B

300

1

1

1

1

1

1

Employee Rooms Patient Rooms Unconcentrated Assembly Standing Space

1

1

1

1

1 1 1 1

1 1 1 1

6 Total

1 1

1 1

6 Total

1 1

1 1

S. S

M

S. S

Child Day Care

WF

F

Max Travel Distance to Exit (sprinklered)

Occupancy

Lavatories

M

Group I

6 Total

6 Total

1 1

1 1

1 1

1 1

1

1

1

1

Max Dead End Corridor Length (ft)

Minimum Corridor Aisle Width (inch)

20’

44”

50’

44”

with automated sprinkler system

(Unrestrained)

200

20’

44”

Group S

400

50’

44”

21

Accessibility Code Calculations Level 2, Section B Surgery Reception Surgery Ward

Total Sq. Footage Level 2, Section B Reception Surgery Ward Waiting...................2273 Nursing Mother’s Room.................................. 181 Storage Rooms................................................ 1335 Dressing Room................................................ 175 Procedure Rooms............................................ 580 Nurse Station................................................... 515 Shared Inpatient Sleeping Rooms................. 1128 Private Inpatient Sleeping Rooms................. 766 Head Nurse Office.......................................... 343 Surgery Theatre............................................... 1836 Surgery Sterile Rooms.................................... 548

Occupancy Loads Level 2, Section A Reception Surgery Ward Waiting...................152 Nursing Mother’s Room.................................. 13 Storage Rooms................................................ 5 Dressing Room................................................ 35 Procedure Rooms............................................ 2 Nurse Station................................................... 35 Shared Inpatient Sleeping Rooms................. 10 Private Inpatient Sleeping Rooms................. 7 Head Nurse Office.......................................... 23 Surgery Theatre............................................... 123 Surgery Sterile Rooms.................................... 110 _______________________________________ Total Number of Occupants Level 2, Section B = 515

Occupancy

22

WC M

Lavatories F

M

F

WF

S. S

Assembly Unconcentrated

1

1

1

1

1

1

Child Day Care Patient Sleeping Rooms Employee Rooms

1

1

1

1

1 1 1

1 1 1

3 Total

1

1

3 Total

1

1

Project Palette Material Palette and Parti Diagrams

Main Circulation Study

Parti Diagram

Massing Study

Geometry Study

23

View of the Main Reception Entrance, Level 1

24

View of 0-9 Ward Nurse Station, Level 1

25

Materials + Finishes Main Reception Entrance, Level 1

26

DIRTT Bespoke Wood in light oak. 75% of sound that hits the surface is absorbed. DIRTT uses renewable energy to produce their products and they contribute to LEED points.

Master Terrazzo 8080.

Steelcase Turnstone - Alight - Seating Ottoman.

Prudential Lighting C Pendant and dimmable.

Prudential Lighting O Pendant and dimmable.

Kilo Islands Hightower Furniture.

Master Terrazzo 5479.

Master Terrazzo 8389.

Master Terrazzo 8080.

Materials + Finishes 0-9 Ward Nurse Station, Level 1

DIRTT Bespoke Wood in light oak. 75% of sound that hits the surface is absorbed. DIRTT uses renewable energy to produce their products and they contribute to LEED points.

CelingsPlus Perforated Ceiling Tile Recycled Aluminum LEED.

Bauwerk Color, Interior Paints.

Made with natural materials such as clay minerals, and natural pigments. Allows walls to contain healthy micro-climate. 100% Green Power when in production. In Bleached White.

Prudential Lighting P8900 Recessed and dimmable.

Master Terrazzo 8080.

Kilo Islands Hightower Furniture.

Master Terrazzo 5479.

Master Terrazzo 8389.

Jockimo Liquid Lava Floor Tiles.

27

28

The outdoor garden area connects all sections of the facility to one another by creating a shared focal space. Both wards connect allowing children, visitors, and staff members opportunities to interact while being exposed to natural light and fresh air.

The garden acts as a self sustaining mechanism by utilizing Kuwait’s natural landscape by specifying native plant species, covering the building’s roof with solar panels, using a gray watering system, and providing an overhead canopy to partially shield users from direct sunlight.

29

View of the Exam Room, Level 1

30

View of the Staff Cafe, Level 2

31

Materials + Finishes Exam Room, Level 1

32

Steelcase Node with Share Surface, in a grey finish.

Lonfloor Fleck - F574 574 Glow Eco-friendly material with Lonseal’s Green Air for Low VOC’s and Green Medic for increased microbial resistance.

Has no wax firsthand speckling hides grit and scuffing.

Steelcase Verge stool without casters, in a red finish.

Prudential Lighting P8900 Recessed and dimmable.

CelingsPlus Perforated Ceiling Tile Recycled Aluminum LEED.

Bauwerk Color, Interior Paints.

Made with natural materials such as clay minerals, and natural pigments. Allows walls to contain healthy micro-climate. 100% Green Power when in production. In Bleached White.

Materials + Finishes Staff Cafe, Level 2

DIRTT Bespoke Wood in light oak. 75% of sound that hits the surface is absorbed. DIRTT uses renewable energy to produce their products and they contribute to LEED points.

Kilo Islands Hightower Furniture.

Bauwerk Color, Interior Paints.

Made with natural materials such as clay minerals, and natural pigments. Allows walls to contain healthy micro-climate. 100% Green Power when in production. In Bleached White.

Prudential LED Light P3900 with dimming controls.

CelingsPlus Perforated Ceiling Tile Recycled Aluminum LEED.

Nest Lounge Low Hightower Furniture..

Montara 650, table in matte white finish.

Steelcase Victor 2 Recycling station.

Steelcase Emu Lyze Chair in White.

33

Content Expert Name: Dr. Mona Ahmed Al-Saleh Position: Consultant Ophthalmologist Facility: Al-Bahar Eye Center Facility Location: Sabah Health Region Experience: Thirty Years Experience Design Collaboration 1. Provided list of spaces needed in a Pediatric Ophthalmology Center, assisted in creating the programming for the Pediatric Facility.

2. Discussed amenities needed that were not provided in her current facility.

3. Provided visual documentation of current workplace.

4. Provided a full tour of the largest Public Ophthalmology hospital facility in Kuwait.

5. Discussed detailed procedures, room adjacencies, and needs per room in a Pediatric Ophthalmology Hospital.

34

35