Friday, September 26, 2008

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.

Tuesday, September 23, 2008

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 .

Friday, September 19, 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.



Thursday, September 18, 2008

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 so
lutions, 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