NICU Case Study Answers

Improved Essays
1. HOK presented the revised NICU plan with private patient rooms.
a. NICU staff toured UCSG, Kaiser San Leandro and Mills Peninsula NICUs.
b. Staff preferences.
• Maximize patient and family privacy – single patient rooms. Sherie H indicated that Dignity Health adapted single NICU room model.
• Maximize size of patient rooms (by reduced support space) is priority.
• Minimize size of well-baby nursery. Minimum required number of basinet need to be identified based on census. Lab routine and billi will be done in patient rooms. Larger patient rooms are desired. Potentially, bigger patient rooms or separate med and clean can be provided by reducing well-baby nursery space.
• Minimize equipment on the floor, and balanced movable and wall
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No L&D staff will be assigned and NICU needs to staff the control room. Minimize the space just for greeting was recommended.
• Equipment storage size is under code requirement (20sf per each patient room).
d. Updated 3rd floor layout was reviewed.
2. User comments on updated 3rd floor layout.
a. Physician dictation space with 2-3 computer stations is required. Somewhere close to the main L&D nurse station is preferred.
b. C-section women locker room needs to be bigger with more lockers. Taking vestibule space was discussed.
c. Vestibule between C-section locker rooms is for scrub, booties, etc. It was confirmed that scrubs will be on rolling carts.
d. Required locker counts and users of C-section lockers are to be identified. (25) nurses, (75) L&D staff and (13) woman physicians. NICU staff counts is to be provided.
e. 6-tall locker in male locker rooms and 8-tall lockers in female locker rooms are provided. 2-tier locker will increase the numbers to double. Combination of assigned and shared lockers (with digilocks) was discussed.
f. Swap clean and soiled by the main L&D nurse station so linen chute can be accessed from the soiled
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Nourishment room near the Post-Partum pod is desired. If security plan allows public access to the existing public toilets on bldg. 2 North without access control, the new public toilets near waiting room can be changed to the main nourishment.
h. Nurse copy rooms need access from check-in.
i. Clean and med can be combined.
j. Ice machine in bldg. 3 was requested. Ice machine can be located in clean/med room (code requirements is to be confirmed) or it can be in nursestation.
k. Proposed on-call rooms are too small.
l. It was requested that OB call rooms is not adjacent to anesthesia call room. Since the anesthesiologist get more calls, it will disturb OB doctors.
m. Provide a charting space in the vestibule in the call-room suite in bldg. 8.
n. On-call rooms with private bathroom for hospitalists was requested.
o. (2) OB call rooms are to be in the unit, and (1) anesthesia call room can be located on 2nd floor. However, it has to adjacent to elevator(s) to C-section suite.
p. Conference room next to offices are well received. Revise layout so one of offices can have a window.
q. Space for father in postpartum rooms are requested. It was mentioned that existing postpartum 10 & 12 (bldg. 2 South) have murphy beds.
3. Shiva M reviewed draft of functional & Space Program

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