ARCHITECTURE & DESIGN
A ‘Smart Chassis’ headwall designed as an accessible system of removable panels. Alternative practices
Being flexible to respond to a pandemic means we must consider alternative places to standard practices. For example, moving triage away from entrances would protect other patients and staff. Enclosed ambulance entrance courts could feature exterior plumbing and electrical connections so that the hospital can build temporary, tent-like structures, with separate, protected pathways. Behaviour will also likely change and impact design. For example, if more patients and staff want to drive to the hospital rather than take public transport, access and parking provision
may need to be revisited. There will be a reconsideration of ‘just-in-time’ and off- site storage for some supplies (like PPE), to more storage of emergency supplies on site. While space is always at a premium, there may still be a resurgence of supplies hoarding by institutions, and also by individual staff. If staff are concerned that they will not have access to face masks in another pandemic event, they will find ways to hide these supplies so that they will be prepared and protected. Employers may provide staff with new respiration masks, and staff will be responsible for owning these. Similar to lead aprons in imaging, staff will lock
their masks at the end of each day, and employers will be responsible for the replacement filters.
2 The ward Divide and contain
For wards that contain larger rooms, these spaces could flex to accommodate multi-acuity needs, such as increased scope for higher dependency or critical care. Planned isolation rooms typically account for a handful of the total rooms on a patient floor, and are not typically grouped together. As we have learned from previous outbreaks, increased demand for isolation may include the need to cluster a population of patients and further protect staff.
Inpatient wards will be planned and designed to allow for segmentation of the nursing unit, with the ability to isolate the patient care area from other areas. In addition, inpatient care floors will be designed with separate air-handling units. The mechanical systems will be designed where entire floors or individual
1 1 4 2 3 ‘‘
EXISTING EXAM ROOM
SEPARATING THE EXAM ROOM INTO TWO SMALLER ROOMS
CONVERTED SPACE USED AS TELEHEALTH ROOM
A UK ‘exam consult’ room converted into two physician telehealth rooms. 46 Health Estate Journal October 2020
1 Newly-built wall 2 Folding desk
3 Monitor connected with computer
4 Webcam
If staff are concerned that they will not have access to face masks in another pandemic event, they will find ways to hide these supplies so that they will be prepared and protected
©NBBJ
©NBBJ
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92 |
Page 93 |
Page 94 |
Page 95 |
Page 96 |
Page 97 |
Page 98 |
Page 99 |
Page 100 |
Page 101 |
Page 102 |
Page 103 |
Page 104 |
Page 105 |
Page 106 |
Page 107 |
Page 108
