model emergency department

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In the redesign of or new 'Charity' Hospital after Hurricane Katrina,
the medical and nursing staff in the ED and Trauma programs met almost
weekly for about 2 months working out the subtle and not so subtle
details. The took our suggestions, made floor plans, and then next
meeting we reviewed and changed. This process was used weekly until we
were all satisfied. The redesigned hospital has been in place for over a
year now and works very well for us. It is unique to our needs and would
not work for everyone, but we all like it  very much. The important
point is having the physicians and nurses working with the architects
until all the kinks have been worked out.

Norman
 
Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111
-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
Sent: Tuesday, September 09, 2008 8:33 AM
To: Trauma & Critical Care mailing list
Subject: RE: model emergency department

When numbers like yours comprise "not very busy," I'm more grateful than
ever to live in Maine.

Having lived through more than one ED redesign, let me assert that
cookie cutters for ED architecture are rare, probably because they don't
work.  Look instead for a well-established healthcare architect.  Trust
me.

ED's are not stand-alone construction; there are countless subtle ways
to improve your interaction with the rest of your hospital and
healthcare system, all influenced by preexisting conditions,
circumstances, and structures.  Find someone with proven experience in
all of that -- and be prepared to spend some money.  The cost will be
quickly recouped in the efficient construction and operation of your new
department.  

One suggestion, though: we found some shell space and built a plywood
mockup of our triage and staff areas before we began final construction,
even taped out the floor plan of the treatment rooms, and let the docs
and nurses wander around to make suggestions.  It not only inspired some
insightful modifications; but also greatly enhanced the buy-in of the
clinical staff.

As for details, I have only a couple of suggestions off the top of my
head: first, it's hard to make a trauma room too big; and having a
carefully conceived and well-executed capacity for trauma room x-ray is
immensely valuable.

Pret Bjorn, RN
Bangor, ME USA


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Jarek
Sent: Tuesday, September 09, 2008 9:05 AM
To: Trauma &amp, Critical Care mailing list
Subject: model emergency department


Dear Colleagues

I am looking for any data suggesting model architecture and equipment
for
emergency department for not very busy county hospital (around 100
admissions per day, 2-3 cardiac arrests, 1 trauma case in critical
condition/day

Thank you for any leads

Best

Jarek Gucwa MD
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