Transcript 幻灯片 1 - Georgia Institute of Technology

Field Observation
Grace Shin
Busra Ergun
Ran zhou
Intensive care unit's equipment
Send heart rate,
blood pressure,
respiratory rate
Monitor continuously displays patient’s information
Intensive care unit's Recording Method
1)
2)
Computer
Documentation
Record medical information to computer and paper
Intensive care unit's Recording Method
3)
PDA
Nurse in Piedmont has PDA to record information
Intensive care unit's Recording Method
4)
MCA
(Mobile clinical assistance)
Intensive care unit's Recording Method
MCA(Mobile clinical assistant): Enable nurses to spend more time
with patients, do their jobs on the move while remaining connected
Wireless connectivity: to access patient information and physician’s order.
RFID: to identify patients, medications and assets
Integrated bar code reader: to manage medicines or costly supplies
Nurse Station
Clearance
Nurse work space
Nurse Station
Nurse station
Hallway
Computer
Storage
Entrance/Lobby
• Design: in general, interaction points
are circled
• Waiting room with colorful design
• Aquarium
• Big screen ocean view
• Attractive for children
• To make the waiting times less boring
Entrance/Lobby
• Elevators
– named as flower and butterfly
– goes different departments
– natural feeling (wooden walls and green leaves on the ceiling)
• coffee shop
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Families
Shower
Laundry
Exercise room
Private sleeping room
Chapel: most silent place
Business center and library: help the
families to follow their daily routines and to
learn more about their children’s illness
Neonatal ICU
35 beds (incubator)
Low lighting
Warm environment to
support the growth of the babies
ALOS: 28 days
Signal system
orange: alarm
yellow: family need
blue:crisis
Neonatal ICU
• Each incubator has a nurse
working desk, information
board and family armchair
• Average 2 patients/ nurse
Window
d
a
s
h
b
o
r
d
restroom
• 26 beds
Bed
Working
desk for
nurse
PC
Glass Door
Pediatric ICU
• 28 CICU beds
• ALOS: 4 days
• Individual rooms
• Design: movie star feeling
Pediatric ICU
• Natural lighting
• Wireless phones for nurse
• 4 nurse pods: screen to
follow each room
REHAB
Restroom
Window
&
Couch
Bathroom
Chair
TV and
DVD unit
• Visitation policy looser than ICU,
because support of family and
friends is important in Rehab
Bed
• ALOS depends on the situation of
patient, around 10 days but
deviation is high
Nurse
Working
Area
Window to hall
door
Challenges

Infection control

No special bathroom in PICU
rooms

Cell phone usage restrictions for
families



Patient privacy vs. Transparency
Sometimes 3patients/nurse
How nurse spend time in POD
system?

Limited family visit in NICU

Families affect each other

Psychology of families
Thank you