Transcript Rankin 3e, PPT Ch 19 - McGraw Hill Higher Education

Athletic Training Management
Chapter 19
Designing Athletic Training Facilities
© 2006 McGraw-Hill Higher Education. All rights reserved.
Designing Athletic Training Facilities
• Preliminary Considerations
• What will you need in the way of space, traffic
flow, capital equipment, HVAC, water, electric,
etc.
• Anticipate what tomorrow will bring as well as
today. If it is full today with limited traffic flow
it is too small and needs additional space.
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Concept Planning Document
• This includes the philosophy of the facility
and intended space allocations. If this has
not been done, strong consideration to
completing this should be given before
proceeding further.
• Facility philosophy
• Administration philosophy
• Use, hours of operation, number of patients seen
daily, traffic flow
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Concept Planning Document
• Athletic Training Philosophy
• What is the setting – hospital clinic, free-standing
clinic, college, high school, industrial, sports venue,
multiple field facility
• What are the hours of operation – afternoons,
mornings, before 8 AM, after 5 PM, overlapping
shifts
• Where is the facility in the building – if college or
high school what is the access to locker rooms,
practice venues, competition venues, hydrotherapy
area, rehabilitation and weights area
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Concept Planning Document
• Where is the facility in the building – in a clinic or
hospital what is the proximity to physician offices,
hydrotherapy area, cardiovascular area, laundry, lab,
etc.
• What is the number of staff that will occupy the
area?
• What is the estimated number of patients in a day?
• What is the traffic flow pattern and is it conducive to
the patient load?
• When considering the uses of the space are there
multiple uses possible?
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Concept Planning Document
• In clinic setting is this a rehab only venue or also an
acute eval and treatment venue?
• In colleges how many program functions are
handled in this space?
• In colleges is this space a teaching laboratory as
well as a clinical facility?
• In high schools who has access to the facility?
• In high schools is the rehab area separate from the
acute care/follow-up eval areas?
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Concept Planning Document
• Placement
• Exit to the outside of the building is a must
• Double wide doors without a center post for emergency
use, either in or out
• Proximity to locker rooms
• Ideal is an entry direct from the locker room into the ATR
such as in Larimer
• In some buildings there is an entry from the women’s
locker room on one side and from the men’s locker
room on the other side
• Next is having to traverse a public hallway to get to the
ATR such as in Savage
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Concept Planning Document
• What other medical professionals will work in
the ATR?
• Do you need a dental area, casting area
• Activities likely to occur
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Taping
Injury assessment
Injury treatment
Rehabilitation
General office and record keeping
Drug screening collection
Physician’s examination room
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Concept Planning Document
• Number of patients helps determine size
• Traffic flow is vital to smooth operation
• Specific Space Allocation
• Assignment of square footage to specific functions
• To calculate square footage allow 2 to 3 square feet
per patient remembering to subtract the footage of
permanent equipment
• Secor formula: number of athletes at peak/20 tables
per day x 100 sq feet
• This does not address equipment
© 2006 McGraw-Hill Higher Education. All rights reserved.
Concept Planning Document
• Remember that patients and equipment are not the
only things taking up space
• Athletic trainers, athletic training students, physicians,
physical therapists, PTAs, parents, coaches, and
administrators all may be present, too
• During planning specific construction needs
will need to be considered.
• You should work with architects who specialize
in medical facilities.
• Athletic trainers are not architects, but they
should still consider the following:
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Concept Planning Document
• Electrical (e.g., ground fault interrupters in wet areas [see
IEEE Recommended Practice for Electric Systems in Health
Care Facilities])
• Plumbing
• Telephone, computer, communications systems (a separate data
line is helpful if the computer has a fax or modem)
• Computer network connections
• Ventilation (the hydrotherapy area needs extra ventilation)
• Flooring type (nonslip tile in wet areas)
• Wall covering
• Ceiling type and height (extra high ceilings, such as ten feet,
are helpful when there are seven-foot basketball players)
• Door width (wide enough for stretchers) and height (remember
the tall athletes)
• Cabinetry, including possible computer workstations
• Lighting
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Concept Planning Document
• ADA applications
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Installing ramps
Making curb cuts in sidewalks and entrances
Repositioning telephones
Adding raised markings on elevator control buttons
Installing flashing alarm lights
Widening doors
Installing accessible door hardware
Installing grab bars in toilet stalls
Rearranging toilet partitions to increase maneuvering space
Repositioning paper towel dispenser in a bathroom
Installing an accessible paper cup dispenser at water fountains
Removing high-pile, low-density carpeting
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Program Area Considerations
• General facility considerations
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Flooring
Ceiling height and materials
Lighting
Stereo system
Location and size of entry and exit doors
Telephone location
Drinking fountains
Bulletin boards, chalkboards
Colors
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Program Area Considerations
• Flooring
• Either carpet or tile
• Nonslip in wet areas
• Specialty considerations for ice hockey/figure skating
• Ceiling height
• 8’ not practical in AT facilities
• Asking 7’ tall athletes to do full flexion at the shoulder or
vertical jump as a functional activity is a problem
• Lighting
• Fluorescent is best
• 20-50 foot-candles 4 feet off the floor for activities of high
visual contrast
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Program Area Considerations
• For diagnostic purposes where skin tones and facial
expressions are observed, 50-100 foot-candles are
recommended
• Windows allow natural sunlight
• Sunlight has been shown to calm people better than
artificial light
• Stereo system
• Music can be calming or motivational
• In a restricted area to prevent theft
• In a restricted area to control the station and the
volume
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Program Area Considerations
• Entry door size and location
• Wide enough to permit entry of all users of the
facility including EMS personnel
• Insure privacy, climate control and sound control
• Separate entrance and exit doors promotes good
traffic flow
• Telephone location
• Located within easy reach
• In each examination room, main office, and primary area
• Drinking fountains
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Program Area Considerations
• If rehab is a form of exercise then water should be
available for the patients
• In rehab area and away from examination and treatment
areas
• Bulletin boards
• Posting announcements, standard operating
procedures for emergencies, staff policies, etc.
• Colors
• Many college rooms have school colors
• Most clinics have a white or variant of white color
• Colors evoke emotional response such as:
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Program Area Considerations
• Reds: exciting, stimulating, tension, danger. Strong reds and
greens in large areas can create unpleasant tensions.
• Oranges: similar to reds, but not to as great an extent.
• Yellows: cheerfulness, humor, less tension than reds and
oranges. Tints (creams and beiges) are safe colors.
• Greens: calm, restful, peaceful, constructive. Imparts serenity
when used with small amounts of red or orange.
• Blues: rest, repose, calm, but overuse can generate depression.
• Violets: convey uncertainty, also convey depression and
tension.
• Neutrals (grays, browns, tans): Grays make good background
colors, best when mixed with other colors. Browns and tans are
homelike in milder tones and masculine in heavier tones.
• White: safe, associated with cleanliness; sanitary.
• Black: strong accent color, should be used in small quantities.
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Program Area Considerations
• Taping area
• Probably should be called team preparation area
• Busiest in prepractice
• Treatment area
• Size and number of treatment tables, including
privacy curtains
• Placement of electrical outlets
• Size and number of modalities
• Sight supervision for staff
• Availability of sink and cabinets
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Program Area Considerations
• Rehabilitation area
• The rehab area houses large pieces of equipment so
adequate space to maneuver around is a must
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Type, number, and size of equipment
Placement of electrical outlets
Carpet for exercises on floor
Sight supervision for staff
• Hydrotherapy area
• Whirlpools, water flumes, ice machines, hot and
cold water supply, sink, possibly refrigerator
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Program Area Considerations
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Type, number, and size of whirlpools
Size and capacity of ice machine
Storage for coolers, water bottles, and so forth
Other concerns include:
Ventilation
Ground fault interrupters (GFI) for electrical outlets4
Location for whirlpool controls
Electrical outlets that are high on walls
Sink and spigot for filling coolers
Special plumbing needs (i.e., floor drains)
Nonslip tile flooring
Proximity to exit
Sight supervision for staff
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Program Area Considerations
• Office area
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Desk, chairs for consultation
File storage
Computer connection for LAN and back-up
Separate office for each staff member
Visual supervision of the entire site
Curtains or blinds for privacy when needed
• Physical exam area
• Multiple people besides patients in this area
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Program Area Considerations
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Desk
Telephone
Exam table
X-ray view boxes
Counter and sink
Storage cabinet
Chalk or grease board
• Pharmacy area
• Separate room in the ATR for storage and
dispensing of prescription meds
• Often set up by the student health service which is
the ONLY group with the keys (NO ATs or team
physicians)
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Program Area Considerations
• Computer connection to central pharm record
system
• Computer record keeping program for logging
medications
• Dental area
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Can be accommodated within the ATR
Counter and cabinets
Sink
Electrical outlets
Plaster trap
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Program Area Considerations
• Storage area
• climate control is a must
• Type, number, and size of items to be stored
• How much will be stored in the facility and how
much will be stored elsewhere
• Shelving
• Ventilation
• Future storage needs
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Program Area Considerations
• Specialty pad and orthotic area
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Type and size of equipment needed
Activities to be performed
Storage needed
Counter space
Electrical outlet placement
Plaster trap, if casting will be performed
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Program Area Considerations
• Locker Room, Lavatory, Shower
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Who will use the area?
Size and number of lockers
Ventilation
Electrical needs
Flooring
Plumbing
• Janitorial and Storage Closet
• Handy for storing cleaning supplies
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Program Area Considerations
• Conference Room
• Meetings, library, proficiency evaluation
• Rehabilitation Pool
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Access for people with disabilities
Graduated depth, up to seven feet
Deck area should have nonslip surface
Temperature needs for water
Separate room for filter system and maintenance
equipment
• Windows for sight supervision
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Program Area Considerations
• X-ray room
• Mandatory in NFL
• Many large college football programs have these
rooms
• Lead shielding in walls is a must
• Developing machine is a must
• Construction Documents
• Architectural plans
• Site plan
• Floor plan
• Electric plan
© 2006 McGraw-Hill Higher Education. All rights reserved.
Program Area Considerations
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Elevations
HVAC
Plumbing
Fire safety
Many others
• Communication with an architect
• Meeting before any drawings are done to
discuss your needs
• Preliminary drawing
© 2006 McGraw-Hill Higher Education. All rights reserved.
Program Area Considerations
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Electrical
Plumbing
Lighting
Ventilation
Heating and cooling
Walls and floors
• Approve placement of doors and direction of swing
• Final drawing
• At this point the design is frozen
• Any changes require additional expense
© 2006 McGraw-Hill Higher Education. All rights reserved.