HOSPITAL DESIGN AND CONSTRUCTION
floor’, and three plain film rooms in the radiological imaging area.
Theatre patient ‘holding area’ One of the more unusual features in the operating theatres, Antoinette Reis explained, is that patients about to undergo surgery are first brought not into an anaesthesia room, but rather to a cath or theatre ‘holding area’ where, for example, intravenous ‘lines’ are put in. The patient is then anaesthetised within the theatre with its own anaesthetic workstation. She said: “This not only ensures an efficient surgical workflow, but also frees up space that would normally be used for anaesthesia – within which patients, after all, only spend minimal time.”
Looking at some of the HVAC considerations – and fully HTM-compliant air for the third, fourth, and fifth floor inpatient wards is supplied from a rooftop plant room, while an interstitial plant room on the second floor serves the first and ground floors, including the theatres and cath labs. Antoinette Reis explained that this HVAC and plant configuration eliminated the need for substantial ductwork and pipe runs.
Cystic fibrosis patients’ specific needs
The 19 inpatient rooms for Cystic Fibrosis patients – who need to avoid contracting infections, since they can exacerbate their condition – receive air changes every four minutes, instead of the four air changes per hour found in other hospitals. Focusing on some of the other inpatient rooms, Antoinette Reis began with those in the Critical Care Area. She said: “All the CCA inpatient rooms have both a fully glazed front and glazed walls. The latter have
A selection of striking artwork features around the new healthcare facility.
curtains which can be closed for patient privacy, but if, say, a nurse needs to be especially vigilant over the condition of a particular patient, she can see straight from a room into the adjoining one. In designing the new hospital, good patient visibility was a top priority. While in ‘CCA’ the nursing is predominantly ‘one-to-one’, the Trust brief required us to achieve 60 per cent visibility as a minimum on the three larger inpatient wards, but we have actually achieved 70 per cent.” This has been achieved via the incorporation on each inpatient ward of a large central nurse station, from which staff have good visibility over both the north and south wards, plus three touchdown bases
located along both the north and south corridors.
At the front of all the inpatient rooms are glazed breakout doors; the doors can be pushed out and will ‘break out’ into the corridor, for example in the event of a ‘crash’ situation, where staff may need more space to bring in resuscitation equipment. In this scenario the corridor can be blocked off at either end, and the corridor space ‘borrowed’ to make the room larger.
Antoinette Reis explained that the glazed frontages for inpatient rooms were a feature HOK had seen used ‘quite often’ in the US. The glass doors to the CCA rooms, in contrast, have ‘break in’ doors.
January 2020 Health Estate Journal 47
The Royal Papworth Hospital NHS Foundation Trust
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