HOSPITAL DESIGN AND CONSTRUCTION
privacy, quiet, and a therapeutic environment, as well as comfortable spaces for patients’ relatives. There are also two four-bedded bays, in the Respiratory section of the Respiratory Support and Sleep Centre (RSSC) ward on the third floor – which also houses the Sleep Centre. Antoinette Reis explained that clinical evidence suggests that some respiratory patients fare better when accommodated with others. The first floor, dubbed the ‘hot floor’, also houses five ‘standard’ operating theatres equipped for heart, lung, and other thoracic procedures of differing complexities, five ‘cath labs’, commonly used, for instance, to treat patients immediately following a heart attack via the insertion through the groin of an aortic stent, and two hybrid theatres – which can be used both for cardiology procedures and cardiothoracic surgery. One of the cath and hybrid theatres incorporates a Philips Azurion 7 B12/12 image-guided therapy system, and a biplane C-arm unit with two 12 inch detectors. Both C-arms can be independently positioned, allowing full patient and head side access for anaesthesiology/echocardiology. In the other cath lab/theatre hybrid is a biplane C-arm Philips Azurion 7 F20, with a larger detector head and wider field of view, which can, for instance, enable images of both lungs to be viewed simultaneously. This system harnesses ClarityIQ technology, which provides high quality imaging at ‘ultra-low’ X-ray doses.
User group consultation
Antoinette Reis said: “Surgeons and other clinicians were among a number of user groups extensively consulted on the theatre and cath lab design and layout – the goal being to equip the theatres with a range of equipment – in terms of lighting, pendants, C-arms, monitors, equipment stacks, AV components and infrastructure, touchscreen controls, and monitors – to enable even the most complex procedures to be undertaken in a tailored, ergonomic setting. We also used a VR facility at Reading University to show nurses and clinicians a number of alternative room and space configurations via realistic simulation, to ensure that they would meet their needs.”
MTS Health, which managed equipment procurement, worked with the Project Team, clinical staff, IT, and clinical engineering personnel, to select and appoint Jones AV, a medical system integration specialist, to install the complex theatre infrastructure. This includes advanced AV facilities based around an uncompressed 4K video over IP fibre-based audio-visual routing and management infrastructure, (from Barco Nexxis). MTS Health says the advanced set-up (see also HEJ – September 2019) has not only provided surgeons with
44 Health Estate Journal January 2020
The light and airy main atrium.
significantly improved ‘operational ergonomics’ (compared with the theatres at the old site) – enabling them to view information and images without leaving the surgical field, but also allows ‘dynamic control and routing’ of image sources to displays, and ‘operational collaborative audio and visual communication’ between all the theatres.
Trust’s ‘unified
communications system’ Via integration with the Trust’s ‘unified communications solution’, the Jones AV ‘solution’ has also ‘delivered connectivity’ between the entire ‘hot floor’ and anywhere within the building – for example MDT and seminar rooms – to support education, training, and clinical review.
Another technological innovation incorporated is a range of Mindray BeneVision patient monitors, supplied in smaller sizes for the inpatient rooms, and
a larger model – with an ‘extra-large’ touchscreen – for ICU and theatres. The monitoring system also includes 18 workstations, five central stations, three eGateways connected to the hospital’s Lorenzo electronic patient record (EPR) system, and 12 ‘slave’ screens for the theatre department. The monitors are further integrated into the theatre AV system, so that surgeons, perfusionists, and anaesthetists, can all visualise data ‘at a glance’.
Following the patient on their journey
The monitoring equipment provides comprehensive, continuous patient monitoring throughout the patient journey, which improves safety for patients, and releases time for staff to care for them, through more efficent workflows and a reduction in manual transcription. Patients can effectively be ‘followed’ when they are moved within
One of the new hospital’s cath labs.
The Royal Papworth Hospital NHS Foundation Trust
The Royal Papworth Hospital NHS Foundation Trust
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