Log 5 MP2

Tuesday November 25th, 2008
Today in class I continued working on my dimensioned drawing of the floor plan. I was able too add in the necessary dimensions for construction.

Log 4 MP2

Friday November 21st
Today I was able to continue work on my floor plan and continue dimensioning. I have begun to dimension the interior of the building and the exterior. I had to go back and fix the exterior wall dimensions in order for them to be even measurements. After I finished this I was able to continue dimensioning. I need to be done with this drawing by the end of next week in order to stay on schedule.

Log 3- MP2

Tuesday, November 18th
Today in class I was able to continue work on my floor plan. I was able to determine that the exterior walls of the building must be even measurements or be on the odd 4' or the even 8'. This will need to be corrected on my drawing and adjustments will need to be made.

Log 2 MP2

Friday, November 14th
Today I was able to complete the bid process for the balsa wood necessary for model construction and the cedar mulch that would be used in landscaping if I were to actually build the facility. I was able to find four companies that supply balsa wood; Balsa USA, National Balsa, Solarbo, and Alvin Inc. I also found three companies for cedar mulch. I recieved two email confirmations on purchase orders for balsa wood from Balsa USA and National Balsa. The other two companies have yet to respond. I finished the bid process sheets by writing the company informatoin and fax number on the sheets.

Log 1- MP2

Tuesday, November 11
Yesterday and today during class I was able to create and complete my marking period 2 calender. I created this calendar in document form and included the following tasks;

• mentor contacts
• logs
• drawings
• due dates
• days off

After completing my calendar I was able to begin working on my bid process. I have decided to complete two seperate bid processes. One would be pretaining to the model and the balso wood necessary. The other would be in a real life situation, buying mulch for the landscaping. I need to contact the balsa wood companies to see if they accept purchase orders.

MP2 Calendar

November
Week 1 Nov. 10-14
Create and finish MP2 calendar
Contact mentor regarding feedback on plans as of now
Begin bid research, pricing
Log Tuesday and Thursday
Week 2 Nov. 17-21
Bid process due Nov. 18
Research foam core pricing and buying procedures
Create and finish bid process for foam core
Dimension floor plan properly
Log Tuesday and Thursday
Week 3 Nov 24-28
Label materials on floor plan
Finalize floor plan
Log Tuesday and Thursday
Thursday- Thanksgiving Break

December
Week 1 Dec. 1-5
Begin front parking lot drawings with dimensions and foot note reasoning
Finalize parking lot drawings with proper dimensions and codes
Log Tuesday and Thursday
Week 2 Dec 8-12
Begin rear ambulance access drawings with dimensions
Label ambulance entrance procedures and finalize drawing
Log Tuesday and Thursday
Week 3 Dec 15-19
Begin schedule plans for windows, doors, and landscaping
Update blog
Log Tuesday and Thursday
Week 4 Dec 22-26
Log Tuesday and Thursday
Begin construction prep

January
Week 1 Dec 29- Jan 2
Begin midterm to mentor
Continue working on midterm
Begin work on math and science analysis of site layout and parking lot
Log Tuesday and Thursday
Week 2 Jan 5-9
Begin construction beginning with base work and elevations
Continue construction
Log Tuesday and Thursday
Week 3 Jan 12-16
Continue construction
Developmental work due Jan. 12
Math and science analysis due Jan. 12
Log Tuesday and Thursday
Week 4 Jan 19- 23
Continue construction
Presentations Jan. 20
Mentor contacts due Jan. 20
Log Tuesday and Thursday
Midterm due Jan. 23
Week 5 Jan 26-30
Continue construction
Log Tuesday and Thursday

Log

Tuesday, October 28th
Today I was able to finish my final solution floor plan. The drawing contains all the room sizes, layout, door placements, and window placements. The drawing took three class periods to complete and I am relieved to have a finished floor plan. Yesterday I began preparation for the formal progress update this week and will continue to do so.

Log

Friday October 23rd
Yesterday we were able to complete our rough conceptual model of the building, along with the surrounding plot and street. The model was constructed out of presentation board and took 3 days to finish. The model will help to show building placement, parking lot flow, ambulance entrance, and traffic flow around the lot.

Log

October 3rd, 2008
Yesterday our group, along with the other TSA Architecture group, visited Centra State Medical Center to take a tour of the Emergency Unit. The tour was extremely helpful to our research, and our planning of the room/building sizes. We were able to see first hand the amount of space we needed for each type of room. We were also able to see the type of equipment needed, and the space that equipment took up. More about the trip to Centra State can be found under Research- Centra State Medical Center.
This week I have continued work on my floor plan, and using the AutoCAD Architecture Program I have began work on a drawings that only depics the spacing of the rooms. This will give us a good idea of the sizes of our building, in relation to our lot. I will begin to work on more mentor contacts, and trying to get into contact with my main mentor.

Log

September 26th, 2008
Today during systems I was able to begin preliminary work on the model, working out dimensions, scale, and the location of the building on the plot. I was also able to begin working on my floor plan drawings, and the dimensions for the building. I was also able to send an email to my mentor, asking if he had recieved my previous messages, and if he had any comments on my project as of now.

Log

Tuesday September 23rd
Today our group accomplished much. We were able to clarify what exactly our model needed to look like. We learned that our model must display the location/site for our building. It must include a 3D model of the building, on it's actual site, and the surrounding area. The model must be able to display traffic patterns, emergency medical vehicle access, as well as the floor plan of the building. This was a good starting point to begin formulating the model, and the presentation.
Today we were also able to redo our testing procedures. The testing procedures for our project now more accurately reflect what needs to be evaluated, and how we are going to go about doing it.
For the next few days this week I need to focuse on expanding my calender, and try to get in contact with my mentor.

Testing Procedures (revised)

How the Final Solution Should Function
The final solution should function in a very specific way, and under certain parameters. The EMC must be easily accessible by cars and ambulances in emergency situations. The EMC should be sectioned off into employee and patient sections. The EMC should be able to accommodate a range of medical needs, from a simple illness, to an emergency situation. The EMC should have proper storage for the large amount of patient files, proper reception area, at least 6 patient rooms with ample space, patient, employee, and waiting rest rooms, doctors offices, conference rooms, correctly sized trauma centers, and radiology unit.

When a patient seeking non-emergency medical attention comes into the clinic, they will first go to the reception desk which will allow for them to be processed and have their insurance registered with the clinic, they will then wait in the waiting room, until the nurse can call them into one of the six examination rooms to be treated.

In an actual emergency such as a broken ankle a patient would first be put in a wheelchair and taken to the x-ray room. The x-rays would then be read by the radiologist and he would make a diagnosis. If needed, a cast would then be put on. In the event of a trauma emergency, such as a patient being brought in from a car accident, the ambulance will pull into the ambulance designated zone in the parking lot, which has the closest acess to the trauma center entrance. The patient will be brought to the trauma center through the trauma center entrance, where medical attention can be administered.

How the Testing Procedures Will Work
Testing Conference
A critiquing conference will be held after the completion of the project to evaluate the designs function and plausibility. The conference must be set up at least 2 months in advance, to ensure that the proper evaluators are present, and that everyone will be able to attend. Proper personnel to attend this meeting would be emergency medical technicians, doctors, architects, and Asbury Park town officials. This will ensure that all aspects of the project will be critiqued and evaluated. The emergency medical technicians will be able to evaluate the trauma unit, the doctors will be able to evaluate the examination rooms, offices, and radiology, the architects will be able to evaluate the structural aspect of the building as well as exterior/interior design and the floor plan. The architect will also be able to professionally evaluate the drawings done.
A presentation will be given by the project members to inform the evaluators of the project, rationale for the design, specifics of the design, processes of development involving design, and the final solution specifications. After the presentation is given, the evaluators will be able to critique the project as a whole. This would allow for honest feed back and responses to our project from a professional stand point. After the critiquing session is over, the evaluators will have a survey to fill out, giving specific feed back on certain areas of the project. Each survey will be different, pertaining to the evaluators specific area of expertise.

Numbered Steps
1. Schedule a date for the conference
2. Schedule a location for the conference
3. Speak with possible evaluators/mentors for commitments
4. Prepare presentation/posters
5. Prepare model for evaluation
6. Present the basic design of the project, including rationale and thought processes.
7. Go over individual sections of the design, including floor plans, wall sections, window and door schedules, exterior wall elevation, and interior drawings.
8. Discuss site layout
9. Discuss roof choice, and wall support systems.
10. Have the feed back session
11. Give survey out to evaluators.

Survey
Mentor Survey

1. How professional and accurate are the architectural drawings?
2. Are there any major errors in the architectural drawings?
3. Are the architectural drawings sufficient in displaying the design and layout of the building?
   
4. What design/structural problems are there if any?
5. In regards to design and layout, what would you have done differently?
6. Are the room dimensions accurate and appropriate?
   

Medical Evaluator Survey

1. Does the layout of the building coincide to that of other medical facilities?
2. Would the layout of the building provide sufficient space for an emergency situation?
3. Would you be able to operate and conduct the medical procedures necessary in such a facility?
   
4. What changes would you make to the overall design and layout of the buildings?
   

"Flickr." Final thesis critique. 19 Sept. 2008.

"Not One Positive Plan of Action." Brotherpeacemaker. 24 Sept. 2008 .

Log

Friday September 19th,
I have created and posted my alternate solution. I have also completed the write up for my alternate solution. I have also posted the selection/rejection/intention report. I have begun to learn the AutoCAD Architectural program, and am now able to draw walls, doors, windows, and other portions of a building. I have also posted my brainstorming which includes ideas on the location of the EMC and what the building should contain.

Selection/Rejection

Alternate Solution 1

Alternate solution 1 is a square design which includes all of the necessary room prerequisites determined in the specifications. These rooms are waiting room, reception area, offices, biohazard waste disposal, staff area, employee bathroom, file storage, radiology, radiology reading room, trauma unit, patient rooms, patient bathrooms, and a conference room. Alternate solution 1 was designed with many factors in mind; space efficiency, ease of entrance into the trama center, and patient safety. The three hallway system branching off of the waiting room, allows for space efficiency. Because there are only three main hallways, it allows for more space to be used for the specific rooms. The trauma unit is located on the backside of the building, which allows for direct access for patients in need. When an ambulance arrives, they will be able to drive up via the rear access route, and bring patients directly to the trauma room. The left hand side of the EMC is dedicated to employee space, which includes file storage, breakroom, bathroom, office space, and biohazard waste removal. This area is kept seperate from the rest of the building to eliminate confusion for the patients, and to allow employees to have a secure work area. The patient rooms are located in a block on the right side of the building with hallway acces on the the exterior of the block of rooms. This area also includes the patient bathrooms and conference room.

Pros:
There are several pros that alternate solution 1 offers. This solution has a highly accesible trauma unit, localized patient and employee space, is space efficient, and meets the list of specifications.

Cons:
The hallway system is very difficult to manuver threw the building. To acces the employee space you must travel threw the reception only, and to go from patient room 1 to patient room 6 you must walk around the entire block of rooms. This will make flow and manuvering throughout the building difficult for doctors and staff.

Alternate Solution 2Alternate solution 2 is a T- shape design. This design also encompasses all of the room requirements which include waiting room, reception area, offices, biohazard waste disposal, staff area, employee bathroom, file storage, radiology, radiology reading room, trauma unit, patient rooms, patient bathrooms, and a conference room. This solution was designed with the idea that employee space and patient space should be completely seperate, but easily moved between. The dividing line between employee space and patient space is the double hallway with a divider located at the center of the facility. The right hallway leads to the exam rooms, trauma unit, lab space, and radiology. This single hallway for patient rooms and single hallway for employee rooms system allows for ease of mobility throughout the facility. The trauma center also has direct access to the back of the building, which creates a direct route for the ambulances to use.

Cons:
The double hallway design is not the most efficient design. It takes up a larg amount of space.

Pros:
Some of the pros of this design are the easy mobility of the layout, the localized employee and patient space, and the specifications that are met

Alternate Solution 3
Alternate solution 3 is a rectuangular shaped deisign with a central area as the main hallway, which all of the rooms branch off of. Off of this main hallway are the offices, storage, waiting and reception, radiology, conference room, trauma cener, exam rooms, and bathrooms. The trauma center is located on the right side of the building which allows direct access from the out side street. The exam rooms are all located on the back end of the building in a row.

Pros:
This design offers an extremely simple floor plan which limits wasted hallway area, and creates a centralized location for all in the EMC

Cons:
This design give access to patients to the spaces that should be just employee space.


Specification Gred

Final Solution
The final solution is a revised version of alternate solution 2. This solution incorporates many of the features from solution 2. The left portion of the building is devoted to employee space, which is blocked off to the general public. This area includes staff area, employee bathroom, conference room, offices The right hand side of the building is the patient treatment area. This area includes the trauma center, the lab, radiology, storage, 6 examination rooms, and patient bathrooms. There are 4 exits, 2 emergency exits, 1 main entrance, and the trauma center entrance.

Alternative Solutions

Alternate Solution #1

The above picture is the first alternate solution. The main entrance is in the bottom right corner, which leads into the waiting room. In the waiting room is the reception desk. Behind the reception desk is the employees only hallway. In this hallway are doctors' offices, the biohazard room, a break room, and file storage. If you make a right after entering the waiting room you are led into the first hallway. Halfway down, it splits into a new hallway with an x-ray room, an x-ray reading room, and a trauma room. The trauma room has doors leading to the outside so that the ambulances can bring patients directly in. On the other side of this hallway are the first three patient rooms and two bathrooms. In the last hallway are three more patient rooms and a conference room.

Alternate Solution #2

The above drawing is the second alternate solution.The entrance is on the bottom right, which goes into the waiting room. After you enter the waiting room there are two hallways. The first hallway on the left is the employees only hallway. In this hallway are file storage, doctors' offices, a conference room, and a staff room. The hallway on the right holds the bathrooms, six exam rooms, the trauma unit (with an ambulance entrance), a lab, and a radiology room. Attached to the lab is a storage room for the lab.

Alternate Solution #3

The above drawing is the third alternate solution. The main entrance is located on the front side of the building. The reception room has direct ascess to the file storage room for the most recent patients, along with a billing room for the handling of business matters. The waiting/reception room leads directly to the main hallway which gives direct acess to the other rooms. the Trauma Unit is located on the far right of the building, and has its own ambulance entrance. The exam rooms are located in a continuous row for ease of access, and the bathroom is directly next to the exam rooms. The file storage room is located in the upper left corner of the building, with the offices directly next to it.

Brainstorming

Much brainstorming was done on what the EMC should include, and what rooms are going to be needed. Brainstorming also was needed to determine a location for the EMC.

Space Usage

• reception
• nurse's station
  
• waiting area
  
• file storage
• extra file storage
• trauma room
• office space
• hearing booth
• boiler room
• radiology
• lab
• ambulance entrance
• patient/employee restrooms
• location of trauma center
• employee vs patient space

Preliminary Sketches
Preliminary sketches were done to start visually formalizing ideas on the layout of the building. After completing several sketches, we were able to see clearly how the layout would function, and which sketches were possible solutions, or not viable.


Location
The location of the EMC depends on several factors. These factors are;

1. vicinity to nearest hospital
2. space and zoning availability
3. research ease (the level of difficulty it would take for us to conduct research on buildings codes and other local restrictions/standards)
4. community medical needs

Area Hospitals
We decided it would be a smart choice to choose a location that was in or near Monmouth County, so we would be able to know the area, which would give us an advantage in learning the building codes of the area, and being able to speak in person with city representatives. Choosing a location that we are able to visit will allow us to visit the site, and determine visually what the building will look like on that plot of land. After coming to this conclusion we needed to determine what hospitals were in the vicinity.

• Specialty Hospital at Monmouth- Long Branch NJ
• Bayshore Community Hospital- Holmdel NJ
• Bristol-Myers Squibb Children’s Hospital- New Brunswick NJ
• Centra State Medical Center- Freehold NJ
• Community Medical Center- Toms River, NJ
• Jersey Shore Medical Center- Neptune City, NJ
• K Hovnanian Children’s Hospital- Neptune City, NJ
• Riverview Medical Center- Red Bank, NJ
• Monmouth Medical Center- Long Branch, NJ
• Raritan Bay Medical Center- Perth Amboy, NJ

Research- Location/Middletown EMO

Location
For the project a site had to be selected to build the fresstanding EMC. After thinking of areas that might need medical assistance, Asbury, NJ was the final choice. When research was constructed, Asbury was not near a hospital and did have an empty lot available to build on. We then researched the address of the City Hall in Asbury to retrieve building codes.
EMO Middletown, NJ

Once that part of the research was complete we actually visited a freestanding emergency medical clinic, in Middletown, NJ, to see the components of the building. As we took a tour of the clinic we took notes for the layout and parts of the building that were an absolute necessity to any medical office. Before leaving we asked doctors, nurses, and staff for their opinions and suggestions. We then took the information and researched other EMO's and their components. They were basically all the same and these notes are what we used to compose our specifications and limitations.

Testing Procedures

Testing Procedures
- Compare design with specifications and limitations of project
- Bring final design and model to mentor for professional feedback and criticism
Determine if the building meets structural requirements
- Hold a final solution showing of the final design with the local emergency medical professionals.
Determine if the EMC meets all specifications and needs of real life medical personnel
Determine if the EMC meets standards and requirements for any crisis/medical situation
Determine if building is easily accessible by emergency medical personnel
- Bring design to the local government office to ensure that building codes and local restrictions
have been followed
Determine if the building meets specific local codes and standards for medical buildings
Ensure that the building does not impede upon the local businesses/area.

There are two aspects of the EMC that must be tested after the final product is created. The first thing to be evaluated is the efficacy of the final product as a functioning medical clinic. This will be tested by taking the model, drawings, and portfolio to current EMCs (such as the EMO in Middletown, NJ), doctors, and other medical professionals. They will evaluate whether or not the layout would work in a real setting, whether or not the EMC possess all necessary rooms, and if they themselves would practice in the proposed EMC.
The second thing to be evaluated is the drawings. We will take the drawings and model to our mentors and other architects to have them evaluate whether or not the drawings are done correctly, if they are labeled correctly, and give any other comments.

"Flickr." Final thesis critique. 19 Sept. 2008.

Research- Uniformly Distributed Live Loads

Uniformly Distributed Live Loads Chart (pdf)

Live Loads
- Aka probabilistic load, includes all forces that are variable with the objects normal cycle
- ex. stair case: pressure from feet on stair treads, usage, size
- live loads do not include construction or environmental loads i.e. wind, snow, rain, earthquake, and floods
- used to calculate total loads
- safety factor

Calculating Combined Loads
- finding max for dead and adding live will give huge over estimate
- you may only combine two stress results at same point

Deflection Limits
- how much wood bends under pressure
- length in inches/360 or L/240, L.180, depends on code books, based on specific activity in room
- living room floor= L/360, 40 psf
- bedroom/inhabitable attic= L/360, 30 psf
- attic with limited storage, L/240, 10 psf

Dead Loads
- add weigh of drywall, strapping, floor joists, sub-floor, under-layment, and carpeting.
- can be found in handbooks (Architectural Graphic Stand)

Research-Related Fields of Study

Related Field Areas
The field of architecture is closely related to the majority of construction and engineering fields. Architects are responsible for the designing of a building and the basic structure of the building. An architect must plan for the construction of a building according to certain weight limits and building codes of the facility. A construction manager’s job and responsibilities are directly related to field of an architect. Construction managers must follow the guidelines set by the architect and coordinate activities for the construction of the building based upon the specifications of building codes and the architects design. Construction managers are often self-employed, much like an architect. Construction managers plan, direct, and coordinate a wide variety of construction projects, including the building of all types of residential, commercial, and industrial structures, roads, bridges, waste water treatment plants, and schools and hospitals. Construction managers may oversee an entire project or just part of a project and they typically schedule and coordinate all design and construction processes.
The job of a landscape architect is very similar to that of an architect. Both fields require extensive planning and research and require a certain amount of artistic and ascetic ability. Landscape architects work for many types of organizations such as real estate development firms, constructing airports, parks, and often are involved with the development of a site from its conception, working closely with the architect. Landscape architects also work with surveyors and engineers. They also help architects determine the best arrangement of roads and buildings.
Structural, electrical, and mechanical engineers must also work closely with the architect to ensure the functionality of the building. Electrical engineers design, develop, test, and supervise the manufacture of electrical equipment and install machinery controls, lighting, and wiring in buildings. Mechanical engineers will work on the installation and maintenance of air conditioning systems and generators. Structural Engineers use science to help in the designing of buildings, bridges, frameworks and other similar structures so that they can safely resist the forces they encounter.




"Career Information." CollegeGrad.com. 25 July 2008 .

"Career Information- Engineers." CollegeGrad.com. 26 July 2008 .

"Career Information-Construction Managers." CollegeGrad.com. 25 July 2008 .

"Career Information-Landscape Architects." CollegeGrad.com. 26 July 2008 .

"Landscape Architecture Services." Milieu Design Inc. 26 July 2008 .

"Structural Engineerings." Structural Engineers Association. 26 July 2008 .

Tepfer, Fred. "Contracts, contracts, and more contracts." University of Oregon. 26 July 2008 .

Design Brief/Specifications/Limitations

Design Brief
To design and model a freestanding emergency medical clinic that serves the medical needs of the community and appeals to the client, staying within the specifications and limitations.

Specifications
- EMC must be located in an area of medical need
- EMC must not be in close vicinity to a hospital
- EMC must be located on a main road
- EMC must have handicap accessibility
- EMC must have ambulance parking area with easy access to the building
- EMC must meet all building codes of the state and local government
- EMC must be self sufficient
- EMC must be designed with space efficiency
- EMC must have a trauma center
- EMC must have an X-Ray and radiology set up.
- EMC must have a waiting room
- EMC must have sufficient storage for files
- EMC must have doctors offices
- EMC must have a dark room
- EMC must have biohazard waste removal
- EMC must have billing management
- EMC must have storage
- EMC must have boiler room
- EMC must have radiant resistant glass
- EMC must have at least six examination rooms

Limitations
- EMC must not exceed the plot of land chosen
- EMC must not break any building codes set forth by town chosen
- EMC must not exceed capacity for available parking
- EMC must not have adverse impact on traffic volumes and patterns
- EMC must not have adverse impact on noise volumes in neighborhood
- EMC must not have adverse impact on environment and surrounding natural resources
- Labor should be well managed and timely
- Construction of the EMC must not exceed the budget
- Supplies for the construction of the EMC must be within budget and building codes

Background Information

Background Information
A free standing emergency medical clinic is a facility that is open to the public for immediate medical attention if a hospital is not within the area, or if the ailment is not serious. The EMC is not dependant on a hospital or other facility, but is completely self-sufficient. The facility is usually located in a business district along a main road so that it is easily accessible.
The EMC is capable of handling small ailments such as strep throat or a sprained ankle, to serious trauma demanding immediate medical attention. The building contains many resources such as lab equipment, bio-hazard storage, trauma unit, examination rooms, file storage, office and conference space, waiting room, reception area, restrooms, storage, hearing booths, X-Ray equipment, and employee space. Space is often limited in an emergency medical clinic, so every space must be made usable, and no free space wasted.
Emergency medical clinics are open to the public and deal with similar insurance policies and costs as that of a doctor’s office. An average EMC will employee 7 doctors, a radiology specialist, and 15 nurses. Doctors at an EMC are specialized in emergency medicine as well as general practice medicine. One doctor will be present at a time, with rotating shifts among the other doctors. This requires the doctor to have to move quickly yet efficiently from as many as 6 or 7 patients at a time. An EMC is not usually located near a hospital, but in areas where medical assistance for the community is needed if a hospital cannot be reached in time, or is not necessary. Emergency medical clinics are vital to the health and wellbeing of a community and provide medical care directly to the public.
An emergency medical clinic must be highly accessible to handicapped persons, and must be accessible by an ambulance easily. Special accommodations must be made for wheel chairs and ramps/pathways must be accessible to the ambulance loading/offloading area. Waiting rooms must be able to accommodate the capacity of the examination rooms, and the limit of the building.
A trauma unit is necessary for patients needing immediate medical attention due to serious injury. The trauma unit must have within itself special equipment such as a defibrillator, IV setup, and its own set of equipment. The trauma center must also be in an open and large area to be accessed easily by medical personnel.
The building of an emergency medical clinic has many more building codes and specifications than that of a home or commercial building. The building must be able to support an emergency situation, while dealing with standard patients. The design of the building must ensure that space is used efficiently and that all parts of the building are fully accessible.

"Flickr." 19 Sept. 2008 http://www.flickr.com/photos/caveatdoctor/2750503784/.

"Radiology." 19 Sept. 2008 .