Aventura Hospital and Medical CenterEmergency Department Expansion

Tatiana Acosta | Thayse Darzi | Esperanza Muino

FIU Department of Interior ArchitectureIND 6257 Grad Design 5Instructor Philip AbbottMidterm Fall 2016

ED KIOSK

The Emergency Department continually strives to advance the patientcheck-in process with new technologies such as the self-service EDKIOSK. Patients have the option of manually entering in their owninformation or scanning their Driver’s License and the reason for theirvisit. Once their information is entered into the system, the triage nurseis automatically notified of their arrival

REGISTRATION

The registration clerk will obtain information for your medical record,including billing information. The registration clerk will obtain authorizationfor treatment from your insurance company. Your being seen and treatedby the emergency department physician will not be delayed by theregistration process or insurance verification. All patients will be medicallyscreened, evaluated and stabilized regardless of insurance or ability to pay

WAITING ROOM AREA

If you are stable, you may have to wait for a bed to become available.You will, however, be made as comfortable as possible while you waitand the staff will keep you advised as to the status of your visit. Aconvenient Wait Time Monitor is located in the waiting room whichshows approximate wait times for each patient.

TRIAGE Aprox. 260 NSF

A triage nurse will assess you upon your arrival and will evaluate your chiefcomplaint and vital signs. Your priority of treatment is based on theseverity of your illness, as determined by the triage nurse. You will be seenin order of arrival time unless you are determined to be seriously ill orunstable. Patients who are determined to be emergent will be taken to thetreatment area immediately.

RESULT PENDING Aprox 225 NSF

The Results Room is a small, personal environment where you can becomfortable and get individualized attention. The Low-acuity patientswho are unlikely to be admitted can await diagnostic results or beactively monitored by a dedicated nurse, ED rooms and beds may bereserved for higher acuity patients.

CONSULT ROOM Aprox 290 NSF

Since majority of the patients coming to an ED do not have an emergentproblem, they are assessed and treated on outpatient basis in theconsultation rooms.

PROGRAMMINGQUANTITATIVE PROGRAM

SUB-WAIT Approx. 500 SNF

Fast track care, often known as urgent or express care, can be a convenientway to get medical help in under 60 minutes.

The room designated for a particular examination to take place. Eachroom is furnished and stocked in the same way to ensure efficientdelivery of care. The room air has to be constantly drawn out and filteredand ventilated outside. This minimizes anything airborne being draftedinto other areas of the ED from the room that has a patient who may becontagious.

BEHAVIORAL HEALTH ROOMS Approx. 1,205 NSF

Are rooms for treat patients that need mental health services. There aretwo designated behavioral health rooms, each designed with the safety ofthe patient in mind. Each is camera monitored and equipped withfurniture designed for safety and a TV encased in plexiglass. A bathroom isprovided for patients in this area.

EXAM & TREATMENT ROOMS Approx. 1,960 NSF

Nurses stations are decentralized to ensure nurses are close to treatment areas. Four stations form a centrally located square. A medication/supply room is in the middle of nurses stations to ensure quicker access to these materials.

isolation represents one of several measures that can be taken toimplement infection control: the prevention of contagious diseases frombeing spread from a patient to other patients, health care workers, andvisitors, or from outsiders to a particular patient.

NURSES STATIONS Approx. 1,360 NSF

The ultrasound room is darkened and has a narrow bed, beside which is amachine with a monitor much like a TV or computer screen. ... When youhave the ultrasound examination, the Sonographer (technician who istrained in ultrasound) will spread warm gel on the area to be examined.

ISOLATE ROOM Approx. 580 NSF ULTRASOUND ROOM Approx. 330 NSF

DICTATION ROOM Approx. 190 SNF

It is a room where physicians, nurses, or other healthcare providersdictate a note in digital audio format to keep track of a patient’s health,history and care. Dictations are then transcribed into a word documentby medical transcriptionists and sent back to the physician electronically.

The room designated for the storage of medicaments, drugs andmedicines to be used on the patient’s treatment.

SUPPORT SPACES

Soiled Hold 135 NSFC-arm Alc 50 NSFNourishment 100 NSFALC Equipment alcoves 75 NSFCT Scan 535 NSFCT Control area 100 NSFStorage 250 NSFJanitor Closet 50 NSFWork 140 NSFQuiet Conf. Room 240 NSFMulti with Storage 490 NSFStaff Lounge & Lockers 390 NSF

Accessible restrooms frompublic corridor(public)x 4 restrooms 240 NSF

Minimum Total Square feet footage 11,775 NSFMED’S Approx. 115 NSF

BUILDING ANALYSIS DIAGRAMS

• LOCATION• VIEWS & PARKING• SUN, WIND & NOISE

SUN PATH

WINTER WINDS

SUMMER WINDS SUNLIGHT EXPOSURE

POTENTIAL HEAT GAIN

Aventura Hospital Medical Center is located at20900 Biscayne Blvd, Aventura, Florida

Street Views Surrounding Buildings Selected Building

East Dixie H

wy

Emergency

Department

Parking Space

LOUD NOISE SOURCE MODERATE NOISE SOURCE LOW NOISE SOURCE

BUILDING ANALYSIS DIAGRAMS

• SQUARE FOOTAGE• ZONING• STRUCTURE

Semi-private Area

Private Area

Public Area

Circulation Area

Main Access

Access to the Bld.Building Views

Steel Columns

Fire Walls

Windows

Grid Pattern

187’- 6”

89

’ –1

”6

1’ –

10

”

66’ - 4”

22

’ -1

1”

15’ - 9”

Not in Scope Area

Construction Area approx. 21,000 sqft

BUILDING ANALYSIS MODEL

• MATERIALITY MODEL• COLOR PALETTE

CLIENT PROFILE USERS PROFILE

• History:• Aventura Hospital and Medical Center was founded in 1965 as

Golden Isles Hospital in Hallandale Beach. The hospitalrelocated to its present location in 1974 and was renamedAventura Hospital and Medical center in 1993. The fullyaccredited 407-bed acute care facility provides award-winninginpatient and outpatient diagnostic, medical, surgical andcancer services.

• Owner: Aventura Hospital and Medical Center is owned andoperated by Miami Beach Healthcare Group, Ltd.

• Mission Statement: Devoted to improving the lives we touchthrough safety, service and excellence.

• Values: ICARE — Integrity, Compassion, Accountability,Respect, Excellence

Population from AventuraWhite: 90%Black or African American: 3.4 %Asian: 1.7%Multi – Racial: 1%Hispanic: 35.8%Jew: 1.13%

Males: 46.8%Females: 53.2%

Median Resident Age: 46.4 Years

ADJACENCY DIAGRAMS• BUBBLE DIAGRAMS• FUNTIONAL DIAGRAM• PARTI DIAGRAMS

SCHEMATIC DESIGN

CONCEPT STATEMENT

“TOGETHER WE CAN MAKE THE DIFFERENCE” Based on the nursing theory from I.M King in order to achieve the optimal ED practice.Our mission is to create an optimal patient experience promoting the continuous interaction and integration of the healthcareproviders and the patients in the Emergency Department. By using what we refer to as “TOGETHER WE CAN MAKE THEDIFFERENCE”, we illustrate the power of teamwork making the difference in every patient’s health. We aim to promote positivePERCEPTION, REACTION, ORGANIZATION & INTERACTION in a social exchange and among all users in this Emergency Department.

“We will make the difference building a successful and memorable experience for both the patients and the ED staff”

DESIGN GUIDANCE To rethink the relationship the ED has to the rest of the hospital. To Improve Patient Flow and Crowding. To support direct patient care. The ED patient has to be defined as an individual and unique person not as a daily

'identity'.(I.M. King Nurse Theory) Privacy & personal territory. Efficiency and decentralization. To plan spaces and program elements that will improve operational efficiencies, and the overall patient and family

experience. Space planning issues related to staff and patient safety, privacy & personal spaces. To Improve work environment designing spaces taking in consideration, light, color, materials, furnishing and finishes. Noise Reduction

Philips LED PowerBalance gen2

Philips LED CoreLine Recessed

Philips LED Dayzone Recessed

Philips PowerBalance PoERecessed

Philips LuxSpace Accent CrispWhite Downlight

Philips Cove Light

Power 40.5 W & 25.5WLuminous flux 3700 lm & 2700 lmCCT 300K & 4000kCRI ≥ 80Power 34 W & 28WLuminous flux 3000 lm & 4000 lmCCT 3000K & 4000kCRI > 80

Power 51 W & 55WLuminous flux 3500 lmCCT 3000 0K & 4000kCRI 80

Power 25 WLuminous flux 3100 lmCCT 4000kCRI > 80

Power 20 WLuminous flux 2700 lmCCT 3000kCRI 95

PERSPECTIVES

MAIN ENTRANCE RECEPTION AREA

ER WAITING AREA SUB WAIT

PERSPECTIVES

NURSE STATION EXAMINATION ROOM

PSYCH EXAMINATION ROOM ULTRASOUND ROOM

PERSPECTIVES

TRIAGE ROOM

SOCIAL AREA

MATERIALITY BOARD

TATIANA ACOSTAPERPECTIVES

TATIANA ACOSTAPERPECTIVES

MATERIALITY BOARD

PERSPECTIVES

MATERIALITY BOARD

THANK YOU!