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Building a New Ter/ary Teaching Hospital: A nursing perspec/ve on design and func/onality Graham Wilkinson, EDNMS and Adjunct Professor USC Fiona Tognolini, RN, Nurse Manager Consumables and LogisEcs OperaEng Room

Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

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Page 1: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

BuildingaNewTer/aryTeachingHospital:Anursingperspec/veondesignand

func/onalityGrahamWilkinson,EDNMSandAdjunctProfessorUSC

FionaTognolini,RN,NurseManagerConsumablesandLogisEcsOperaEngRoom

Page 2: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Greenfield site

Page 3: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Auniquegreen-fieldhealthprojectinAustralia •  The first new tertiary teaching hospital for more than 20 years. Others have been replacements or mergers. • The public hospital brings:

–  new clinical capability, new capacity and a new workforce

Page 4: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

We shape our buildings and there after they shape us. Winston Churchill

Page 5: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Do the sick no harm It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm.

Page 6: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Nursing for want of a better I use the word nursing for want of a better It has been limited to signify little more then of administration of medicines and the application of politics. It ought to signify the proper use of fresh air, light warmth, cleanliness, quiet and the proper secretion and administration of diet – all at the least expense of vital power to the patient.

Florence Nightingale

Page 7: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Intentions of hospitals Hospitals are only the intermediate stage of civilisation, never intended at all to take in whole sick population. Florence Nightingale

Page 8: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Paradigms of influence

Page 9: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

It’s not all about SCUH

Page 10: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Current Hospital and Health Service snapshot Staffing-  3,900Full-Emeequivalent-  Approx.5,000headcountExpenditure->$1Billion2016/17operaEonalbudget-  Everydayover$2.7millionisinvestedintheprovisionofhealthservicesEconomicimpact-70–75percentofourbudgetisspentonlabour

Page 11: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Project scope •  $2 billion capital project •  738 bed tertiary teaching hospital

– 450 beds from 2016 – 738 beds from 2021

•  Skills, Academic and Research Centre (SARC) •  Co-located 200 bed private hospital

–  opened in late 2013 –  public services purchased to 2018

•  Supporting infrastructure for green-field site •  Opportunities for commercial health related developments

Page 12: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

New capability 10,000 patients p.a. who currently have to access inpatient services in Brisbane will receive their care locally

Plannednewservicesinclude:(Notallondayone!!)comprehensivecancercentreneurosurgerycardiothoracicsurgerytraumaservicemaxillofacialsurgery

A typical day at the public hospital: 250 ED visits 1200 Outpatient visits 175 admissions

Page 13: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

SCHHS Employment growth Currently 5,017 staff

employed - 3,931 Full-time Equivalent

(FTE); Projections by 2020/21

- 7,400 FTE positions.

Page 14: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building

Page 15: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west

Page 16: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west Level 2 Floor Plan

Page 17: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west Design Development Process

Page 18: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west

Periopera/veServicesSCUHØ ExtendedDaySurgeryUnit(EDSU)Ø OperaEngRoomSuite(ORS)Ø PostAnaestheEcCareUnit(PACU)Ø SomeSatelliteAnaestheEcService–toexternaldepartments

Page 19: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west EDSU Ø  5 PODS(one cold shelled) for

Surgical and Endoscopy admission area

Ø  12 bed (single and 2 bed rooms) 23hr Stay Inpatient Unit

Page 20: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west EDSU Ø  Cabins and bedrooms

Page 21: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west EDSU Ø  Bedroom with Ensuite

Page 22: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west EDSU

Ø  POD staff station

Page 23: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west Operating Room Suite Ø  8 ORS day one moving to 20 by 2021

Page 24: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west Hybrid Operating Rooms Ø  Toshiba Angio CT Hybrid OR Ø  Siemens Zeego Hybrid OR

Page 25: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west

Operating Room Suite – Standard OR

Page 26: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west

PACU Ø  20 bays day one opening to 40 by 2021 Ø  Including isolation rooms

Page 27: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Main Hospital Building The SCUH site – view from the North-west Commercial Acceptance November 2017 to move during April

Page 28: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

GreatdesignisamulE-layeredrelaEonshipbetweenhumanlifeanditsenvironment–NaotoFukasawa

Page 29: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

www.health.qld.gov.au/scuhospital

More information on the project …

Page 30: Graham Wilkinson & Fiona Tognolini - Sunshine Coast Hospital - Building a new tertiary teaching hospital: A nursing perspective on design and functionality

Sunshine Coast Nursing Where your career and lifestyle come together