DescriptionThe Patient Bay - Emergency, Acute Treatment, Enclosed provides an enclosed space, equipment and services for assessment, treatment and observation of patients with acute conditions and injuries within the Emergency Unit.Hours of Operation24 hoursOccupancy1 patient; 1 visitor; 1-2 staff intermittentlyAdditional Considerations~ This Standard Component shows the requirements for a general enclosed patient bay for acute emergency treatment. For the requirements of an open patient bay refer to Patient Bay - Emergency, Acute Treatment (PTB-E-ACU).
~ Where this Standard Component is used to inform design of a standard isolation space for acute emergency treatment an ensuite that is not shared with other patients may be required.
~ Where this Standard Component is used to inform design of a negative pressure isolation space for acute emergency treatment, an ensuite that is not shared with other patients may be required and an anteroom will be required. A negative pressure room will also have specific air handling and grille location requirements and these are to be confirmed at project level to align with local engineering services guidance. To support maintenance of negative pressure it is also recommended that the entry door swings outwards, and adequate circulation space will be required in the corridor to support this.
~ The extent of glazing provided to the room is to be determined at project level to suit the overall department layout and requirements for patient observation. Provision of integral blinds or extension of the privacy curtain track over the internal observation window is to be determined to suit requirements for observation and patient privacy.
~ Close access to dedicated PPE bays shared between patient bays is required. Refer to Part D: Infection Prevention and Control for more information.
~ A wall clock should be visible from all clinical areas in the Emergency unit. The location and type of clocks provided, including any required connection to a master clock system, is to be determined at a project level.
~ Input of electronic medical records (EMR) may be performed on a wirelessly connected workstation on wheels (WOW) that is shared between multiple bays, with the quantity of WOWs to be rationalised across the unit to suit clinical services requirements and staffing models. Ensure circulation space is sufficient for bedside and bed-end data entry. Parking areas for WOWs and facilities for battery/equipment charging are required to support this model. Alternative configurations, such as provision of wall mounted computers (either within individual bays or as shared write up spaces between bays) may be provided depending on clinical services requirements and local ICT policies.
~ The patient monitor may be mounted on the patient’s left or the patient’s right. The location of the patient monitor is to be determined at project level to suit clinical workflows and equipment functionality. Appropriate in-wall support is required for mounting the bracket for the patient monitor.
~ The content and configuration of the medical services panel (MSP), including medical gases, power and data, will be dependent on clinical services requirements and the services requirements of selected equipment. Final configuration is to be confirmed at project level.
~ The clear area required on each side of the patient trolley for use of transfer aids (such as mobile hoists, patient slides, hover mats, etc.), the space for the trolley or wheelchair the patient is being transferred to, and the staff required to assist/complete the patient transfer, is to be considered and confirmed at project level. Work Health and Safety (WHS) policies and patient transfer devices that are intended to be used in the patient bay should be confirmed by the project team.
~ Mobile duress coverage is to be assessed and planned at a department level and coverage is to meet local security and WHS policies as well as operational service requirements.
~ Provision for the temporary storage of patient property (e.g. wall-mounted baskets, coat hooks, underbed storage baskets, etc. for clothes and small bags) is to be considered at project level to ensure an appropriate solution is provided for patient and visitor comfort and convenience.
~ It is recommended that a dedicated power outlet, clearly separate from the medical services panel (MSP), is provided to support patient and visitor use for charging portable devices. Inclusion of integral USB outlets will depend on local ICT policies.
~ Inclusion of a patient entertainment system may be considered depending on anticipated length of stay within the patient bay and patient cohort (e.g. paediatrics). Solutions may include individual systems provided to each enclosed patient bay (with integration to patient handset for speaker, and audio/content controls) or portable solutions, such as tablets, brought to patients as needed.
~ Size, type and quantity of waste bins provided within the patient bay, including sharps bins, will be dependent on clinical service requirements, operational models for waste management (including separation of waste streams and frequency of waste removal) and local infection prevention and control (IPC) policies. It may be determined that bins for specific waste streams are to be located in a shared area between multiple patient bays and possibly brought to the patient bay as required.
~ Provision and extent of emergency/standby power and/or uninterruptible power supply (UPS) is to be confirmed to suit clinical services requirements and site conditions. Confirmation of power requirements is to be based on risk assessment considering the impact of a power outage on patient care/safety and medical equipment specifications.
~ Provision of cleaner’s power outlets is to be rationalised across the department and spaced in accordance with AS/NZS 3003.
~ Access to natural light and an external outlook is desirable. However, patient privacy must also be considered when determining window placement. Where high-level windows are provided to the bedhead wall of patient bays consideration must be given to the location of wall mounted items such as patient monitors.
~ The type, materiality and cleaning requirements of window coverings to external windows is to be confirmed at project level to suit local infection prevention and control (IPC) policies and risk assessments. Refer to Part D Section 6.4 for more information.