the mock-up patient rooms atarchive.missionbayhospitals.ucsf.edu/.../ucsf_mock-up_room_brochu… ·...

the mock-up patient rooms at

project scope

why did we build the mock-ups?

setting a new benchmark

acute care room

intensive care nursery room

intensive care unit room

labor and delivery room

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the mock-up patient rooms at

“UCSF’s architectural vision for the new medical cen-

ter at Mission Bay is to create timeless and transforma-

tive buildings that are responsive to the unique needs of

children, women and cancer patients, yet operate effi-

ciently as one. ‘Transformative’ describes a design that

not only contributes to new ways of advancing health,

such as patient safety and cutting-edge technology,

but also contributes to healing through abundant and

varied connections to nature, a focus on sustainable

strategies and features, and emphasis on the support

for patients and their families. In the spirit of our mis-

sion of “caring, healing, teaching and discovering,” the

co-location of these three specialties in one complex

will be integrated with a major biomedical research

campus across the street to ensure continued excell-

ence in the care of children, women and cancer

patients while advancing health worldwide.”

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project scopeoverall SIze: 878,000 GSF

NUMBer oF BedS: 289

CoMpleTIoN daTe: 2014

Cindy lima, executive director, UCSF Medical Center at Mission Bay

patient + family experienceThe family’s role in health care is becoming increasingly re-

cognized as instrumental to improving the quality of life

for the patient. Therefore, it is important that patient room

design supports more frequent and longer stays through

comfortable accommodation and amenities for family and

provides opportunities for collaboration and integration with

the caregiver team. In addition to features such as dedicated

family storage; a white board to communicate patient care

needs and status; and large windows that provide daylight

and views; we’ve designed our rooms to respond to the

increasing demands for newer, faster ways to achieve close

and effective partnerships between families and caregivers.

Features that promote safety for both patients and staff are

highlighted in the design of the patient room. The natural

rubber flooring is comfortable for staff, attenuates noise (a

known stressor in the hospital environment), and reduces

toxicity and maintenance because there is no need for

waxing. additionally, ceiling-mounted patient lifts reduce

the potential for staff injuries during transfers. To decrease

falls when the patient gets out of bed independently,

the bathroom is located just a few feet away from the

head of the bed, and assistive devices such as handrails

line the path from bedside to bathroom.

enhanced clinical + patient safet yIn addition to the staff hand-washing and work zone located

conveniently just inside the patient room, which saves care-

givers both precious time and steps, the design creates a

“porch” just outside every patient room entry. This transi-

tional zone, not in the corridor and not in the patient room,

offers staff a place to enter or read data on a computer

without disturbing the patient and family and saves travel

back to a more centrally located nurse’s base. In addition,

a quiet conversation with a parent or family member can

take place right outside the patient room without having to

travel to a consult room when such privacy is not required.

operational efficiency

With 289 new beds being designed for the new UCSF Medical Center at Mission Bay, it was not enough to only imagine the excellence envisioned for these environments.

why did we build the mock-ups?

It was essential to build mock-ups of key patient rooms that

bring to life the principles of evidence-informed design and

sustainability that have guided every decision. These mock-

ups allow the men and women who have devoted energy and

time to the design process to experience, test and evaluate

the rooms to ensure they provide optimal patient, family and

staff comfort; environmental safety; operational efficiency;

and sustainability. The mock-ups give us an opportunity to

make changes and refine the design and delivery of materials

and equipment before construction begins–avoiding costly

changes after the hospital opens.

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Intensive Care Nursery patient room

acute Care patient room pediatric environment

While the staff experience the optimization of standard

layouts for flexibility and adaptability, the patient and family

will have access to personalized technological resources,

from the bed and the bedside, including personal choice of

display, entertainment, information, and education, inte-

grated into a large interactive display that we’ve designated

the media wall. From connecting to work or a classroom via

webcam to playing games with friends; and from custom-

izing the room lighting to investigating your new diagnosis,

the media wall provides a lifeline to the resources with-

in the hospital and to the world outside creating a more

familiarized (and comfortable) environment for patients and

family alike.

setting a new benchmark

environmental sustainabil it yIt is in the patient room that patients spend most of their

time while in the hospital. So the question was asked, “Is it

enough that the materials with which patients have the most

contact during their hospitalization be considered ‘green’

and sustainable in terms of their durability and recycl-

ability”? It was felt that this vulnerable population should

also have the benefit of an environment that is as “toxin-

free” as possible. as a result, all patient rooms will include

materials that have undergone unprecedented chemical

assessment as part of the selection process to maximize

the use of healthful materials.

Intensive Care Unit patient room

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“each of the antenatal rooms has been designed so that a woman will have her own private garden to look out on. It will create a natural, tranquil and calming space that is all her own.”

Nancy Milliken, Md vice dean, UCSF School of Medicine, director of the UCSF National Center

of excellence in Women’s Health

labor & delivery room

pediatric environmentacute care room

UCSF Medical Center at Mission Bay

Dental

Prepare

Waiting

SkyLobby

PedsChildLife

PedsTransitional

Care Peds Acute Care

Women’s & Cancer Acute Care

PedsSurgicalSpecialty

Clinics

RehabilitationServices

Color-Coded Floor Plan - Level 50’ 30’ 60’ 120’

Graphic ScaleNacute Care

patient room

Floor area: 240 sq.ft. [not including bathroom]

NUMBer oF rooMS: Children’s Hospital - 80;

Women’s and Cancer Hospitals - 92

loCaTIoN: Floors 3, 5 and 6

The acute care patient room at UCSF Medical Center

at Mission Bay must serve many users in multiple

ways. It is the patient’s bedroom; it is the loved one’s

hotel room; and it is the caregiver’s workroom.

It must be comfortable for adults and children alike,

and it must be safe and promote health. It must offer

respite, connectivity, efficiency, access to light and

nature, and accommodate all that the best medicine

has to offer. It serves the high-risk pregnant mother

on extended bed rest; the post-surgical cancer patient;

the pediatric heart patient; the post-partum mother;

the child with cystic fibrosis who comes to stay often;

and myriad others who require an excellent environ-

ment for world-class care and the opportunity to heal.

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Family zonededicated family area to promote

integrated care in all rooms – including flexible furniture to accom-

modate family overnight stays

patient zonepatient bathroom located on

the headwall for improved safety and ease of access, w/ the inboard location maximizing the family area

Staff zonepatient view of staff work area and hand-washing sink immediately on

access to room

Media Walllarge multimedia screen for

access to patient/family education, medical records, entertainment,

environmental controls, and food service/housekeeping requests

porchStaff charting and ‘med mailbox’

for direct pharmacy dispensing immediately outside room

w/ touchdown area

patient bedside multifunctional local media

device for nurse call, phone, speakers, media wall control,

and environmental controls, and food service/house-

keeping requests

sofa extends for family sleeping

potential secondary charting location

patient bathroom at headwall for easy patient movement

from bed to bathroom

patient shower designed w/ no curb to facilitate ease

of movement and improve patient safety

staff touchdown area for charting and ‘med mailbox’ for

direct pharmacy dispensing

canted room for optimized views out window and increased family area

family lighting controls / whiteboard

staff whiteboard on cabinet face

dedicated staff work area w/ split-height wet and dry zones and under-counter parking for bins and hampers

vision panel in door for patient viewing w/ privacy curtain when needed

location of hand-washing sink immediately at room entry to encourage use and in sight of family

rooms designed for infection control (smooth surfaces for easy cleaning, coved flooring, and minimal ledges)

semi-private conversation area immediately outside room

wireless connection for family

design Features

acute care room room zones

Infection Control Clinical Care/patient Safety

operational efficiency patient/Family experience

patient zone

Family zone

Staff zone

Media Wall

porch

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intensive care nursery roomFloor area: 170 sq.ft. for single ; 290 sq.ft. for double

NUMBer oF rooMS: 31 singles, 13 doubles (13x2)

loCaTIoN: Floor 3


Fetal Treatment Center

SkyLobby

IntrapartumCare

Intensive Care Nursery

Mother-Baby Care

Waiting

Concierge Medicine

PrenatalDiagnostic

Center

PerinatalClinic/

Antenatal Test


Graphic ScaleN

Intensive Care Nursery patient room

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Both infant and parent benefit when parents spend

more time with their critically ill baby. With most infants

in private or semi-private rooms in the ICN at UCSF

Benioff Children’s Hospital at Mission Bay, the environ-

ment will encourage parents to stay longer with their

babies. Instrumental to this is the overnight accommo-

dations (sleeper sofas) now available for the parents

which allows parents (who are often discharged long

before their babies are) and guardians to spend invalu-

able bonding time with their newborn, which can miti-

gate psychological duress and promote natural parent/

child bonding. also a recliner/glider facilitates ‘kangaroo

care’ (a technique in which parents have skin-to-skin

contact with their newborn through nursing or holding),

which further supports the physical bonding between

parent and baby that is critical for development and im-

proved outcomes. There is a breast milk refrigerator

in every patient room to minimize the risk of identifica-

tion errors associated with mass storage. dual window

blinds provide either filtered light or total blackout of-

fering protection for extremely low birth weight infants

while providing the option for natural light for families

and staff. rubber flooring precludes harsh chemicals

and reduces maintenance, further protecting these vul-

nerable patients.

dedicated / lockable family storage

privacy curtain for breastfeeding mothers

in-room charting location

breast milk refrigerator


rooms designed for infection control (smooth surfaces for

easy cleaning, coved flooring, and minimal ledges)

wireless internet connection for family

family whiteboard

100% fresh air supplied to all rooms and isolation rooms

location of interconnecting door or window for staff-to-staff connection

acoustic wall panels and ceiling to provide quiet environment

location of hand-washing sink at room entry to encourage use and in sight of family

sliding glass door for ease of access and visibility (w/ break-away function when a larger opening is needed)

Family zone

patient zoneall single and double room

environment w/ interconnecting doors between single rooms

wherever possible for maximum flexibility and staff connectivity

Staff zoneSpacious entry area w/ clear

distinction between staff clean and soiled work areas, ample

storage for moveable equipment w/ quick bedside convenience

dedicated family area to promote integrated care in all rooms – including flexible furniture to

accommodate family overnight stays

design Features

intensive care nursery room room zones

Patient Zone

Family Zone

Staff Zone



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OP Blood Draw

Pharmacy

EEG/ EMG Suite

Peds Clinic Shared Support

Respiratory Therapy

Peds Primary Care Clinic

Peds Medical Specialty

Clinic

PediatricIntensiveCare Unit

PerinatalCardiac

IntensiveCare Unit

Compass Care

Stem Cell Lab

Pediatric Transitional

On-Call

AdministrativeSupport

SkyLobby Adult

ICU

Dialysis


Graphic ScaleN

intensive care unit roomFloor area: 290 sq.ft.

NUMBer oF rooMS: adult 14; Children’s - 20 pICU,

12 pCICU, 12 Transitional pICU

loCaTIoN: Floor 4

In the ICU patient room at UCSF Medical Center at

Mission Bay, design is used to emphasize the value

placed on increasing patient and family comfort amid

the stress of monitors, equipment, and technology,

which can easily overpower this environment. Family

members not only have a place to sit comfortably at

the bedside with the patient, but they can also retreat

to get quiet rest or sleep in a dedicated alcove;

work at a dedicated desk complete with whiteboard

to communicate messages to staff; and, have access

to the internet and Tv during moments of respite.

With a ceiling mounted service boom to deliver critical

power and medical gases, the bed is no longer tethered

to a wall and the patient can be positioned to have

a healing outdoor view. as well, both the patient and

family can have a reassuring visual connection through

an interior window to the nurse who is charting in

the alcove just outside the room.


OP Blood Draw

Pharmacy

EEG/ EMG Suite


Respiratory Therapy



Clinic


PerinatalCardiac

IntensiveCare Unit

Compass Care

Stem Cell Lab


On-Call


SkyLobby Adult

ICU

Dialysis


Graphic ScaleN


OP Blood Draw

Pharmacy

EEG/ EMG Suite


Respiratory Therapy



Clinic


PerinatalCardiac

IntensiveCare Unit

Compass Care

Stem Cell Lab


On-Call


SkyLobby Adult

ICU

Dialysis


Graphic ScaleN


OP Blood Draw

Pharmacy

EEG/ EMG Suite


Respiratory Therapy



Clinic


PerinatalCardiac

IntensiveCare Unit

Compass Care

Stem Cell Lab


On-Call


SkyLobby Adult

ICU

Dialysis


Graphic ScaleN


OP Blood Draw

Pharmacy

EEG/ EMG Suite


Respiratory Therapy



Clinic


PerinatalCardiac

IntensiveCare Unit

Compass Care

Stem Cell Lab


On-Call


SkyLobby Adult

ICU

Dialysis


Graphic ScaleN

Intensive Care Unit patient room

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double window shades to provide filtered light or total blackout if required

dedicated / lockable family storage

patient tv from boom mount


easy cleaning, coved flooring and minimal ledges)

dialysis connection


dedicated staff work area w/split-height wet and dry zones and under-counter

parking for bins and hampers


in-room charting location from boom mount

optimize boom for minimizing wall mounted items and maximizing room configuration options to suit varying patient or care team demands

rubber flooring for staff comfort, sound attenuation, and reduced maintenance (no waxing)

location of hand-washing sink immediately on access to room

to encourage use and in sight of family

sliding glass door for ease of access and visibility (w/ break-away function when larger opening is needed)

design Features

intensive care unit room room zones

Family zonededicated family area to promote

integrated care in all rooms – including flexible furniture to accom-

modate family overnight stays

patient zoneequipment booms planned to reduce the amount of equipment on the floor

and increase room flexibility to accom-modate wide range of clinical

specialties and levels of acuity

Staff zonelarge room opening for visibility

and ease of access, w/ fixed staff support areas located out of the way,

providing opportunity for flexible, patient driven, working configurations

at bedside

Charting zoneImmediately outside room w/ direct

sight line to 2 patients, room for 2 staff charting at the same time & the location for the ‘med mailbox’

for direct pharmacy dispensing

Patient Zone

Family Zone

Staff Zone

Charting Zone



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labor and delivery roomFloor area: 345 sq.ft.

NUMBer oF rooMS: 9

loCaTIoN: Floor 3

The labor and delivery (ldr) room requires soph-

isticated technical capabilities as well as carefully

considered design interventions to promote a sense

of calm for the intimate, anxious and joyful birthing

process. From a family refrigerator to medical gases

concealed behind panels, the ldr at UCSF Medical

Center at Mission Bay is designed to be respectful

to patients and families during this life-altering event,

and to transform with ease to the highly functional

environment of a procedure room in which physicians

and caregivers can safely and efficiently perform their

services. With equipment hidden but highly accessible,

staff can tend to mother and infant to optimize the

experience and outcomes for both. a dedicated infant

care and resuscitation area located adjacent to the

birthing bed provides easy access for the pediatrician

to tend to the baby and enables the mother to see her

infant immediately after birth.


Fetal Treatment Center

SkyLobby

IntrapartumCare

Intensive Care Nursery

Mother-Baby Care

Waiting

Concierge Medicine

PrenatalDiagnostic

Center

PerinatalClinic/

Antenatal Test


Graphic ScaleN

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labor delivery recovery room


procedure/exam lights

family tv

under-counter parking for bins and hampers

rubber flooring for staff comfort, sound attenuation and reduced maintenance

(no waxing)

spa-like bathtub for patient w/ seat area behind for ease of

transfer in, or for partner


easy cleaning, coved flooring and minimal ledges)

dedicated alcove for patient’s belongings (suitcase, coat hangers...)

patient bedside multifunctional local media device for nurse call, phone, speakers, media wall control and environmental controls and food service/housekeeping requests

location of hand-washing sink at room entry to encourage use

dedicated charting location and staff area w/ split-height wet and dry zones, and under- counter parking for bins and hampers

labor and delivery room

Family zone

patient zonelarge patient zone with adjacent baby

area and inboard patient bathroom, maximizing the family area

Staff zoneSpacious work area w/ a zone

dedicated to baby resuscitation and clean and dirty work areas,

ample storage for specialist equipment, and ease of access

for peak activity

dedicated family area to promote integrated care in all rooms –

including flexible furniture to accom-modate family overnight stays

Patient Zone

Family Zone

Staff Zone

Charting Zone design Featuresroom zonesInfection Control

Clinical Care/patient Safety


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