Enhancing Safety In The Bendale Care Facility Construction Essay

Bendale Acres, a Long Term Care Facility wants to heighten the safety and comfort of their occupants and staff by redesigning their nursing units. The nursing Stationss serve as a response desk, an scrutiny room, and a site for occupant file storage and medicine storage. They are looking for systems with similar functionality as the nursing station that improves chiefly, accessibilty, biotechnologies, and sightlines. Following the client ‘s petition for the redesign of the nursing station, our design squad is suggesting a new nursing station to replace the current design.

The new design must let nurses to supervise any activity in the hallways and proctor people traveling in and out of the lifts. The Stationss must supply infinite to hive away medical specialty, resident files and medical equipment. It must besides supply a topographic point for regular physical check-up. This design should be every bit cheap as possible. It should maximise sightlines of nursing Stationss and let better handiness for the nurses. The design should minimise the sum of building and destruction to guarantee comfort of the residents.A It should be aesthetically delighting and better the general biotechnologies of the nurse and physician work environment. The design must non go against any safety or edifice codifications as outlined by the Ministry of Health and the City of Toronto.A We have besides investigated the physical and human environment of the nursing station to farther specify the conditions the design will run in.

After brainstorming and measuring our consequences, our squad came up with five alternate designs that met all the restraints. These designs include the Multiple Nursing Stations, The Portable Nursing Station, The Ergonomically Improved and Surveillance System Station, The Glass Wall Replacement Station and The Rounded Glass Wall Station.A After measuring our options, we concluded that a loanblend of the design consisting of a rounded glass station and a distant stationA would be the most appropriate solution as it best meets the maps, aims and restraints of the job. This design allows for improved biotechnologies and sightlines, gives room for storage infinite, allows squad to see into filing and medical specialty suites and is really aesthetically delighting.

Following, we outlined a program for a elaborate design that includes what we will be showing following and any outstanding determinations we still have to do. The study outlines the basic execution instructions. We preformed a life rhythm appraisal and economic analysis. In the economic analysis, we considered the intial, on-going and concluding costs, every bit good as any economic benefits of the design.

All five phases of the human factors ( physical, psychological, squad, organisational and political ) were considered. The study outlines how the design meets each factor. For illustration, on the psychological degree, the design affects the occupant ‘s sense of comfort and security. We besides considered the design ‘s societal impacts.

Last, we prepared an updated undertaking direction program with inside informations on upcoming undertaking mileposts. Our following measure will be to show the concluding design specification ( FDS ) to the client. This study will stipulate the proposed design in greater item with regard to the environment, economic, societal and other factors that affect it. The Final Design Specification study sketching these inside informations will be available on April 28th, 2010.

Bendale Acres Long Term Care Facility values a civilization of safety, so that the environments of its occupants, visitants, voluntaries, pupils and staff promote safety, comfort and wellbeing. [ 1 ] In order to heighten the safety and comfort of her occupants and staff, Sheri Cotton, the administrative helper at Bendale Acres has asked for the redesign of the nursing units. The nursing Stationss in each of the nursing units at Bendale Acres are unsuitably located and sized. They are looking for designs that improve the layout of the Nursing Stations in order to maximise biotechnologies and efficiency. The new design must let nurses to supervise any activity in the hallways and proctor people traveling in and out of the lifts. The Stationss must supply infinite to hive away medical specialty, resident files and medical equipment. It must besides supply a topographic point for regular physical check-up. This design should be every bit cheap as possible. It should maximise sightlines of nursing Stationss and let better handiness for the nurses. The design should minimise the sum of building and destruction to guarantee comfort of the occupants. It should be aesthetically delighting and better the general biotechnologies of the nurse and physician work environment. Bendale Acres is home to a broad demographic community with occupants runing in age from 23 to 105 old ages old and of many different cultural backgrounds. Sixty-six per centum of occupants suffer from cognitive damages, and some exhibit exit-seeking behavior. Some occupants require the assistance of a Walker or wheelchair. The redesigned nursing units should be suited to this demographic. The design must non go against any safety or edifice codifications as outlined by the Ministry of Health and the City of Toronto. It must non interfere with the occupants ‘ day-to-day activities. Last, the design should better the safety of the occupants every bit much as possible.

1.2 Designation of Stakeholders

The undermentioned chart outlines the major stakeholders and their specific concerns with respects to the undertaking ( See appendix F for an audience analysis of client ) . It should be noted that the client is composed of a board of employees dwelling of nurses, directors, decision makers and other staff who work at Bendale Acres. It should be noted that all stakeholders are concerned with safety, and have some other general concerns specific to them every bit good. The stakeholders have been divided into primary stakeholders ( those straight utilizing the design ) , secondary ( those who control the design ) , and third ( those who approve or are non straight related to the design.

Stakeholders

Concerns

Categorization

Primary Stakeholders

Nurses and Doctors

Concerned with being able to detect occupants from most parts of the unit, increasing the safety of the occupants, every bit good as being able to transport out their work in a more ergonomic and efficient infinite.

HF, SI

Residents

Concerned with their safety in the nursing units, every bit good as with the overall aesthetics of the unit ( their life quarters ) .

HF, SI, EI

Secondary Stakeholders

Administrators, Directors and Other Staff

Concerned with the overall safety of the occupants, every bit good as increasing the efficiency of their nursing units and the cost of the undertaking which they must subject to the Ministry of Health.

HF, $

Third Stakeholders

City of Toronto

Concerned with the safety of occupants and the cost, as the City owns the edifice and must pay for costs.

$ , SI

Ministry of Health

Concerned with guaranting edifice and safety ordinances as set out in their paperss are met, every bit good as with the overall cost of the undertaking as they must O.K. the budget.

HF, $

Family and Friends of Residents

Concerned with the safety and wellbeing of the occupants in the nursing units.

HF, SI

Hafnium: Human Factors, $ : Economic Impact, EI: Environmental Impact, SI: Social Impact

1.3 Functions

There are several maps identified for the nursing units. The design squad will work to fulfill these primary and secondary maps to increase the security and functionality of them. Besides, some unintended utilizations have been considered by the squad ( see Appendix A ) .

Primary Functions

The primary maps describe the basic public presentation that the design should hold.

Allow nurses to supervise occupant ‘s behavior in the hallways.

Allow nurses to supervise people traveling in and out of the lifts.

Supply a topographic point to hive away medical specialty, resident patient files and medical equipment.

Supply a infinite for regular physical check-up

Secondary Functions

These maps are the requirements that allow the design ‘s primary maps to execute.

Supply a infinite for people to work indoors of.

Provide infinite which can be used as storage.

Unintended Functions

There could be unexpected maps, either positive or negative, that the design will execute in existent use.

1. Supply a impermanent storage country for patients ‘ personal effects, such as mails, books, etc.

2. Supply a topographic point for the occupants and visitants to give feedbacks about nursing service.

1.4 Aims

The squad has identified a figure of aims which the design should carry through in order to fulfill the job to the highest grade ( see Appendix A ) . The design

Should maintain costs to a lower limit

Should use systems which are already in topographic point

Should maximise sightlines of nursing Stationss and floor

Should efficaciously and expeditiously shop files and equipment

Should minimise building or destruction ( if any ) to forestall major motion of occupants

Should let better handiness for nurses

Should better the general biotechnologies of the nurse and physician work environment

1.5 Constraints

Not all of the undermentioned restraints apply to a nursing station ; nevertheless, if the current nursing station is to be designated for another intent ( thereby traveling the nursing station elsewhere ) , it may necessitate to stay by these restraints, depending on whether the infinite is to be accessible to occupants.

There are assorted parts of the design which must be met in order for the design to be considered or approved in any mode. These include:

Must comply with all codifications and criterions set out by the ministry of wellness ( see Appendix A and B ) concerning:

Building codifications

Structural constraints- for illustration, waies of travel should be a lower limit of 1100mm broad [ 2 ]

Accessibility constraints-for illustration, counters of a nursing station must hold at least one subdivision functional by individuals in wheelchairs at a maximal tallness of 865mm [ 3 ]

Codes with respect to working conditions

Lighting requirements- for illustration, illuming degrees at keyboards should be equally distributed at no less than 200 lux [ 4 ]

Budget must be moderately low ( while no cap is given, must be approved by the Ministry of Health )

Must maintain design within hired staff ( can non engage new staff )

Must let occupants to go on day-to-day modus operandis without breaks ( i.e. due to building ) and can non interfere with their comfort

Must non motivate paranoia or fright in occupants with cognitive damages

Must non add excess safety jeopardies

Must comply with the restraints of the construction ( i.e. can non destruct burden bearing walls, etc. )

1.6 Service Environment

The service environment describes the location where the design will be implemented ( see Appendix A for interview notes and Appendix C for floor programs ) .

Physical Environment

There is one nursing station on each floor of Bendale Acres Long Term Care Facility ( six floors entire ) . The nursing station contains postponing along the walls which store patient files. A side room within the station contains medicine and basic medical equipment. The forepart desk overlooks two lifts which are for occupants and visitants. There is no position of the hallways taking to patient suites. The nursing station has a broad room access confronting the chief hallway. The country is at about room temperature ( 20 to 25 grades Celsius ) .

Human Environment

The nursing station overlooks a assortment of occupants and visitants. These occupants enter the nursing Stationss for scrutinies and prescriptions. The occupants are aged 18 and over and of different backgrounds. The current age scope is 23-105 old ages ( Appendix A ) , and many occupants are Gallic speech production or Ismali [ 5 ] . Sixty-six per centum ( Appendix A ) of occupants suffer from cognitive damages, and some exhibit exit-seeking behavior. Some occupants require the assistance of a Walker or wheelchair. Six to eight staff are on responsibility per floor during daylight hours. In the dark, there are three staff per floor. There are no staff members for good situated in nursing Stationss. The staff includes security, nurses and caretakers.

Virtual Environment

The nursing station contains a desktop and telephones. The laptops connect to the cyberspace by a wireless device. It is of import to observe that there are no cameras in the edifice. Thus, no picture surveillance systems exist in the nursing Stationss. There are several power sockets within the nursing station.

1.7 Client Ethical motives and Valuess

The client, the disposal of Bendale Acres, has a vision of “ safe, capable and high quality attention ” [ 5 ] . This will be one of the cardinal factors in the defining of the design program. The safety criterions followed by the client are the criterions governed by the Ministry of Health. Thus, the squad will guarantee that these criterions are met in the design. As the metropolis owns the edifice, the client requires that the program for redevelopment of the units be approved by the City of Toronto. The nursing place accepts people from assorted civilizations and backgrounds. For illustration, it is place to an Ismali unit and besides a Gallic linguistic communication services unit. Bendale Acres besides has an inter-denominational worship Centre and the squad recognizes that the client has a spiritual association [ 6 ] . We will take this factor into consideration and do certain that the design does non pique any occupant ‘s spiritual beliefs or ethical motives. The client has a rigorous privateness policy and requested that the information shared by them about the nursing units be kept confidential. The moralss and values of the occupants will besides be taken into history in the design undertaking. The client is guided by the value of ethical decision-making ; that is, they support and act in the best involvement of their occupants and guarantee that determinations related to care and service are sensitive to moral and cultural issues [ 6 ] .