Field Observations and Solution Proposal Musheer Ahmed Shayna Brownstein Lesley-Anne Harris Wassa Panont

Shepherd Center • Rehabilitation hospital located in Atlanta, GA (Ranked in the top 10) • 132 Beds, with 10 Beds in their ICU • 2:1 Patient to Nurse Ratio • Average stay in ICU: 4-5 Days, but rehab starts immediately

Shepherd Center • ICU layout is a standard U shape • Remote stations for charting, computer use, etc • Issue with visibility from the nurses’ station, especially the low pressure room Courtesy of Shepherd Center Patient Joseph

Shepherd Center • • • Interesting Approaches to Care: Remote telemetry monitoring for other units On site family housing Patients transferred when they are capable of starting rehab

Area: 25,000 SF Completion Date: Spring 2008 ICU Twenty-eight patient rooms each with private bath and family zones with built-in support areas including desks, daybeds, and storage for overnight stays State of the art patient care delivery including nurse stations at each room with visible access, patient lift in each room, wall mounted Hill-Rom latitude booms, and through wall nurse server for supply storage.

Layout

Clinical Documentation

Lack of Communication

Emory University Hospital

Courtesy of Wanlin Xiang

Piedmont Hospital • • • 482 Beds, all private rooms 3,000 Employees and medical staff More than 800 board-certified physicians

Shift Change Recording/Communicating Critical Information

Equipment Cleaning & Maintenance

Common Problems • Patient Visibility Problems Found in Older hospitals

Common Problems • Family Involvement Paradox Patient and Family’s Comfort vs. the Staff

Common Problems Multitude of Monitoring Equipment • Inter-operability • Information Overload

Proposed Solution • • • Dashboard: Handheld Built-in Extension of Existing System • • Solves: Monitoring Equipment Problem Patient Visibility

Proposed Solution • • Patient/Family Interaction Device: 2 or 3 Way Communication Real Time Observation • • Solves: Family Involvement Problem Patient Visibility