1. Adaptable Room Design for a Critical Access Hospital Elizabeth Salmon Elizabeth Copenhaver Marti Chance Kelsey Hoffman Group 15

2. Memorial Hospital Carthage, Illinois  Founded in 1950  8 physicians, 3 physician’s assistants  In need of renovation 1950 Today Future

3. Hart Freeland Roberts  Established 1920 and oldest practicing firm in TN  Full-service architectural and engineering design firm  Noteworthy designs: The Parthenon Valley View Hospital St. Thomas Hospital VA Hospital Nashville Public Library

4. Goals for Project Design  Research required elements of patient room  Gain understanding of user preferences  Develop space program for inpatient room  3D computer simulation of patient room layout  Create 3D walkthrough of patient room

5. The Big Issues  Private or Semi-Private AIA Hospital Code 3.1.1  Inpatient Philosophy of Care: Category of Patient (Nine potential departments) Monitoring techniques within room Universal Room vs. Identical/Adaptable Room Patient-Focused Models  Room Concepts: Inboard/Outboard Toilets Hallway Use and Nurse Access Room Size and Family Access plus Overnight Stay Color scheme and artwork

6. Design Constraints and Limitations  Financial budget: ~$280 per square foot  Community Considerations Rural community Aging population Small hospital staff  Hospital Codes American Institute of Architects Americans with Disabilities Act

7. Hospital Codes Examples  Windows no less than 7.5% of total floor space  Minimum width for doors for access beds/stretchers: 3’8” wheelchairs = 2’10”  Grab bars In patient’s toilets, showers, tubs, and sitz baths 1.5’’ clearance to walls Withstand 250 pounds  Minimum room areas: 120 square feet clear in one-bed rooms  Air into patient rooms must be filtered to 90% efficiency

8. Resources  Insight from architectural professionals Scott Corbin, HFR Kansas City Todd Robinson, Earl Swensson Architects Al Thweatt, Gresham Smith & Partners  Literature  Healthcare Insight Nursing: questionnaire for hospitals in West Virginia and Carthage, Ill  Patient Opinions  Hospital room tours The Medical Center in Franklin (KY) Vanderbilt Medical Center East

9. Specialized Areas of Room  Patient  Nurse Station and Work Area  Family Seating  Overnight Sleeping Arrangements  Bathroom

10. Centralized Toilet = Longer Hallway Bathroom Location

11. Outboard Toilet Bathroom Location

12. Inboard Toilet Bathroom Location

13. Selection of Toilet Placement: Evaluation Chart InboardOutboardCentralized WeightValueProductValueProductValueProduct Size of Family Area 5420210525 Window Size 341239515 Sightline Into room 2244836 Nurse Station Size 339412515 Hallway Length 55255 15 Patient Area 55255 5 Total 95 89 91

14. Color Schemes peach Light Green rose pale gold coral Tranquil Aqua

15. Artwork  Peaceful designs to make the room feel more comfortable for patients www.oliverargallery.com

16. Proposed Model #1 Family Area Patient Area Bathroom Nurses Area

17. Proposed Model #2 Family Area Patient Area Bathroom Nurses Area