Field Observation

Grace Shin Busra Ergun Ran zhou

Send heart rate,blood pressure,respiratory rate

Intensive care unit's equipment

Monitor continuously displays patient’s information

Intensive care unit's Recording Method

1)

2)

Record medical information to computer and paper

Computer

Documentation

Intensive care unit's Recording Method

Nurse in Piedmont has PDA to record information

3)

PDA

Intensive care unit's Recording Method

4)

MCA(Mobile clinical assistance)

Intensive care unit's Recording Method

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

MCA(Mobile clinical assistant): Enable nurses to spend more time with patients, do their jobs on the move while remaining connected

Nurse StationClearance

Nurse work space

Nurse Station

Nurse station

HallwayComputer 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

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 ICU35 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

Pediatric ICU• 26 beds

• 28 CICU beds

• ALOS: 4 days

• Individual rooms

• Design: movie star feeling

Window

Bed

restroom

Working desk for nurse

dashbord

PCGlass Door

Pediatric ICU• Natural lighting• Wireless phones for nurse• 4 nurse pods: screen to

follow each room

REHAB• Visitation policy looser than ICU,

because support of family and friends is important in Rehab

• ALOS depends on the situation of patient, around 10 days but deviation is high

Restroom

&

Bathroom

Window

Couch

Chair

BedTV and

DVD unit

door

Window to hall

Nurse Working Area

Challenges

Patient privacy vs. Transparency Sometimes 3patients/nurse How nurse spend time in POD

system?

Infection control

No special bathroom in PICU

rooms

Cell phone usage restrictions for

families

Limited family visit in NICU

Families affect each other

Psychology of families

Thank you