The new Humber River Hospital Mock Up Room Video Tour

As part of our building program at Humber
River Hospital we created mock-up rooms. We created 8 different mock up rooms
really for an opportunity to look at room size, the architectural feature in
the room, where we might place items, like head
walls and different pieces of equipment; for room colors, room finishes, colors of
paint – all of those things. And the mockup rooms
have been very useful to us. They’ve been available to staff,
physicians and volunteers to travel through and give us lots of
feedback, which has been very helpful in the ongoing design process. And now I would like to take you on a
tour of the mock-up rooms. Eighty per cent of our patient rooms are
single patient rooms. On every 32 bed inpatient unit there
will be two semi-private rooms and all the rest are single patient rooms. There are also
actual airborne precaution rooms on every floor. This is an example an inpatient room and
the rooms are divided to have as you first enter what we call
the ‘patient care’ side of the room, so this is for the staff. There is a sink with hand cleaning solution or soap depending
on what you wish to use – paper towels. And then an area for the staff to work out
of that will have all of the devices they need including
gloves, sharps containers, Purell, hand cleaning solution an area to do
their charting. In the middle of the room we have the
patient care areas. The headwall with the nurse call system,
oxygen, suction, electrical outlets and all of the
equipment required to actually treat the patient. At the foot of the patient bed is a 42-inch
monitor that is the patient’s entertainment centre.
It also includes their TV, their internet access but it’s much more than that! It’s a
communication tool that will have the patient’s health record on it and they will have
access to many parts of it. It will also have their goals for discharge; any of the tests or
treatments that they’re having that day; they’ll order their food from it; they’ll
be able to tell who their care team is; there will be patient education and
learning material on it and it is also one of the two documentation
tools in the room. As a member up staff that has access to the health record I’ll be able
to go up to that monitor simply swipe my card on the side
of the monitor and it will come directly in to the sign
in screen for Meditech – enter my password and I’m into that
patient’s chart within five seconds and there is a portable
keyboard and a mouse that will allow you to chart from anywhere in the room. Every patient room has what we call an
integrated bedside terminal. The integrated bedside terminal is a
second device in the room which does all the things that the
monitor I just spoke to you about it at the foot of the bed does, but it is closer access for the patient,
closer access for the provider should you wish to sign on and document
there, or if the patient wants to look at their TV, their email or their health record. Each patient room
has a family area which allows not only an area for the
family to sit and be with the patient but also encouraging family members to
stay overnight. We are testing and will be providing in
every room some kind of a pull-out sleeping
device, so that families who wish to stay will have somewhere comfortable to sleep.
Each of the windows are chromatic glass. Chromatic glass is a
special glass that darkens depending on how we set the windows from the automatic control
system within the building to become a little bit darker at
nighttime. So while the patient can see out they still have a sense a bit of
coverage on the window. It will also be changed by season of the day depending on whether the window is facing to the south or the north and that’s part of our green process which saves us energy and heat. As well, the patient’s bedside terminal will allow them to modify how covered that window is it
any time – how dark that window is. There is a
drapery provided in the room that will also allow you to separate the
patient and/or visitors from the family. So care providers are not having to ask
them to leave the room. And for those patients who wish, it can
be pulled in front of the window if they’re not comfortable without a
drapery in front of the window. Each of the single patient rooms has a three piece
bathroom, not only for use by the patient, but also
for family members who may stay overnight to accompany the patient.
The bathrooms first of all have sliding doors and the sliding door in our testing was
something that was much easier and much less of a trip hazard for patients to open and close. Each of the bathrooms has lighting in it that is
controlled by occupancy. Again part of our greening
strategy. So the patient simply has to start the door opening and the light in the
bathroom will automatically go on and the door slides out at the way quite
gently and most of that sliding is on its own. The
bathroom as I said, is a three-piece washroom. And so first of
all there is a shower in the far end of the room. The shower has appropriate grab bars and the ability for the patient to
either hand hold the device or the nurse to handle the device if
required and also to allow the patient to take a shower as they
might at home. The bathroom floor is a special slip
proof product and in fact there is no lip or any
kind of a frame around the shower allowing the care provider to wheel the patient in on
a shower chair quite comfortably. Each room has a sink with a mirror and countertop allowing the patient access
to that sink or the caregiver access to that sink.
And then, of course, a toilet with grab bars both at the back and the
side ensuring that there is enough room for staff to be able to maneuver around that toilet should a wheelchair be
required or assistance in lifting the patient. When the patient leaves the bathroom again the door is given a pull and the bathroom door
essentially closes on its own. The occupancy light action allows the
patient to actually get back to their bad before that light goes out. There are
night lights in the room as well lighting the way to the bathroom. Every
patient room has a closet and this closet is available for
their clothes. it is also available for their personal
belongings. The closets have a lock on them and that lock will be set
by combination by the patient much like they are in hotel room safes
and then when the leaves it can be left unlocked or if the
combination is lost overridden. There is also a section within that
cupboard that is not locked for patient care staff to put supplies
that may be required. We’re now entering the semi-private
patients room. This room is set up in very similar
principles to the single patient room. First we have the patient care
provider side, which is always on the approach to the
patient. Again with the sink and all the amenities you saw in the single patient room the provider area
with the requirements. The second bed in the room then the
provider always approaches on the closest side to
the door. So this is the provider care area in
the middle of the room. One of the best features of the
semi-private room is the size of the window. It is a full wall-length window again
that has all of the chromatic glass features that are in the single patient room, but the nice part
about this is the amount of light it will let into the room and even if the patient in the
first bed by the window wants the drapery closed between the two first patient bed will have an
opportunity to look out the window. Each room has of course a three piece bathroom again
that will be shared by these patients. You will see that each of these rooms
has 2 closets again set up exactly the same way as
the single patient room. What you may notice at the foot of the bed in this room is that we do not have the big 42-inch TV screen and the reason we
don’t have that is because of patient privacy so these patients will rely on their
integrated bedside terminal for their entertainment. You (staff) will rely on that as a care provider for charting and we will also have other
mobile charting devices for these rooms. Each patient room whether it is a single
bed or a semi-private room has a patient lift mounted above the ceiling
and it will be equipped with the proper lifts in order to allow us to have assistance
getting patients our of the bed. These lifts will be the same as we
have in our current Humber River sites. There are 18 special care nursery bays. Each of them
is equipped for a single baby – a few of them are equipped for twins.
Outside of each special care nursery, which are built
side by side, there is a charting station where one or
two nurses will be able to sit to observe the babies even if they’re
not in nursery. The nursery set up following the same
principle: there is the staff area, the patient care area, and the family
area. The staff area, much like you saw in a
single patient rooms, allows hand washing hand cleaner, whatever is required and
then at the bedside we have the bassinet for the baby. We have a head
wall that has all the gases, electrical and data
that would be required for the nurse call system. There will be
gloves available at the head (of the bed). There is also going to be documentation and supply carts there is a space for a bear-hugger and a nursery basket. And then around the end of the room is the family area with a comfortable
chair again allowing the mom an opportunity to
be comfortable while breastfeeding or feeding the baby also a spot to
sleep overnight if they wish to. Many of the nurseries have their own
window again with the chromatic class and this allows patients and
the family members to be able to look out. That chromatic glass will also be
controlled through the building monitoring system. There are 48 single patient critical care rooms. The
rooms are grouped together so that between every two rooms is a
charting station for two nurses to sit at. They’ll have their computer there; they’ll have their
cardiac monitor screen so that they can monitor up to 6 beds and they will be able to look through
the window to observe the patient in the room. Each of the rooms has a glass breakaway
door that allows quiet and privacy for the
patient but also allows access to a 5-foot entrance should that
be required to get equipment or furniture in and out of thee room. Each
of the patient rooms again, you enter on a caregiver side. There is a sink for hand washing, hand
cleaner solution and whatever is required. And then there is the patient care side
of the room. Although the critical care room has been set up to allow equipment on both sides of the room. There are head walls on either side of
the patient bed with the appropriate electrical oxygen
suction and data drops. Gloves, sharps containers, hand sanitizer are all available. There is a window in
each patient room and this is particularly important for the
isolation effects that patients feel in critical care rooms. Again the
windows are chromatic glass and it will be used in the same manner as the windows
and single patient rooms are. There is a family area at the far end of
the room, which will allow family members to a sleep
station to stay over if they wish. Each room is equipped with a patient
closet and again each patient rooms has the large screen at the foot of the bed not only for the patient to watch TV but
also for the family or for the chart and all the things
that I explained in a single patient room. There are 20 operating rooms in the new hospital and between every two rooms is a scrub
area. This is an example of what it looks like.
Each of the scrub areas will have four very deep scrub sinks for
circulating staff, physicians and anaesthitists to scrub out
prior to surgery. As well within the scrub area there is
a doorway that allows them to go directly into the
operating room for gowning and gloving after scrubbing.
Let me show you where the patient enters though. From a center corridor the patient will
walk or be wheeled into an operating room. So a very large doorway that allows us to
get equipment and patient needs in and
out of the room. The room itself is about 750 square feet. The scrub area brings the surgeon right
into where there will be a computer for them to work at. Should any information need to be looked at the TV screen at the foot of the bed. There is a nursing station in the room a
large nursing station and our AV
integration equipment which we have spent a great deal of time on. The AV integration equipment will allow a
number people in the room to observe the surgery; it will allow people to have racks to
hold the equipment on; the oxygen, suction and gases are designed such that there will be no cords across the room. The anaesthitist at the head of the bed will have their own unit to provide gases and to provide
electrical with the call station as well as the anaesthetic cart and then the room has
been designed such that the lighting can be controlled by either at
the nursing station or it could be controlled by the physician. The rooms are set up that surgeries can
be shown in other rooms if permission is given.
Shown off site and should a surgeon have a problem in
a room or wish to consult with a colleague they can also show that room – they can
show the procedure going on to another physician outside the hospital on their own computer or handheld device
if consultation is required. There are 15 labor delivery recovery rooms and again the same principle in all of our rooms:
the patient approach side is the caregiver side of the room. Sink
and all of the hand washing, cleaning and gloving supplies required a charting space and neonatal
resuscitation space for when the baby is first born should it be required and then the birthing
area. Now the gaping hole at the head of the
wall you may wonder about. Well sometimes when you create mock-up rooms, some of the things that you thought
were going to work great and look great turn out terrible. This is where the
headwall that will have gases and electrical
for both the mother and the baby is going to be mounted. We’ve gone back to the drawing board to ensure we get the correct product. The far side of the room then has the the bassinet for the baby to
be in after they’ve been born; a two-seater pullout couch allowing the spouse to stay over and it flips out
to a double bed. There’s also a chair for visitors. Each
of the LDRP’s again has a three piece
bathroom. The door in this room is particularly
interesting because in the semi-private and the
private room you saw stainless steel door but we’ve actually in our trials switched all
of those doors out to be this wood colored door. It is a
lighter frame. It is easier to for the patient to
manage and we actually think it adds a bit of color and design to the room. So again the
door is just pushed and it opens quite nicely on its own. The light is activated when the door is
opened. It is a three piece bathroom shower, toilet,sink non-slip floor just as you saw in a single patient
room. When the door closes it’s simply given a small tug or two and it slides shut. Labor and delivery
rooms of course have a huge need for equipment, carts and supplies and so the labor
delivery room has been designed a little bit differently in that it does allow space for
equipment and carts of supplies. There’s a bit of a desk, a cupboard for
products and then of course a locker for the family to put their belongings in.

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