HOSPITAL LAYOUT
l Surgery clinic with dirty utility room, sterilisation room, and scrub room (3).
l Two physician rooms (5). l Archive (6). l Midwife changing room (7). l Waiting room (8). l Administrative office and reception (10). l Day hospital room (11). l Meeting room (12). l Head physician room (1). l Staff changing rooms (9). l Clean utility room (13). l Dirty utility room (14). l Bathrooms (15).
Genetic medicine head physician’s room. The genetic medicine unit consists of
the following rooms: l Pre-amplification molecular biology (I). l Post-amplification molecular biology (L). l Washing and sterilisation room (H). l Sterile room (E). l Slide preparation and prenatal diagnostics room (M + F).
l Next-generation sequencing room (G). l Comparative genomic hybridisation array room (O).
l Microscopy room (N). l Genetic examination room (C). l Front desk and blood sample room (A+B).
l Administrative office and archive (Q). l Waiting room (W). l Physicians and meeting room (P). l Head physician room (D). l Clean utility room (S). l Dirty utility room (T). l Staff changing rooms (R).
The fetal medicine unit consists of the following rooms: l Five ultrasound rooms with dedicated bathroom (4).
l Post-intervention observation room (2).
The project envisaged the refurbishment of: wall coverings, flooring, ceilings, all according to specific medical needs and regulation requirements; the new design of all the technological systems (i.e. air- conditioning, electrical, lighting, water, fire, alarm, and medical gasses) for each functional space; the installation of new doors and windows; the installation of the equipment for the new laboratories, the surgical clinic, the ultrasound rooms, and the new design of all the new bathrooms for patients, staff and visitors.
Conclusions and limitations As the works were conducted on an empty floor in a separate building, there were no issues recorded for staff and patients, which resulted in a smooth construction and installation. The remaining floors of the building were kept fully operational for both inpatients and outpatients during the project, which has led to an improved focus on managing working times, noise, and waste during the works. The layout has been optimised
according to clinical protocols and procedures, national and regional design regulations, and patient and staff flow in the department. This work does not aim to be
exhaustive and definitive, as the project is strictly linked to the physical context and conditions in which the designer and co- designers had to make their choices, but it shows how it is possible to optimise the layouts of existing hospital assets
Next-generation sequencing room.
through refurbishment when new design is not viable.
IFHE
References 1 Amatucci F, Cusumano N, Furnari A, Vecchi V. Strategie di gestione e valorizzazione del patrimonio immobiliare delle Aziende del SSN. Report OASI Cergas-Bocconi, Capitolo 2021; 19: 743-69.
2 Pantzartzis E, Deka L, Price ADF, Tann C, Mills G, Rich-Mahadkar S. Sustainable management of NHS assets backlog maintenance. Built Environment Project and Asset Management (BEPAM) 2016; 6 (5): 535-52.
3 Pantzartzis E, Edum-Fotwe FT, Price ADF. Sustainable healthcare facilities: reconciling bed capacities and local needs. International Journal of Sustainable Built Environment (IJSBE) 2017; 6 (1): 54-68.
4 Pantzartzis E, Price ADF, Edum-Fotwe FT. Roadmap layers and processes: resilient and sustainable care facilities. Engineering, Construction and Architectural Management (ECAM) 2019; 26 (9): 1986-2007.
5 Verderber S, Fine DJ. Healthcare Architecture in an Era of Radical Transformation. Yale University Press, 2000.
Prenatal diagnostics room. IFHE DIGEST 2023
Pre-amplification molecular biology. 63
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