Patient Bay - Emergency, Resuscitation

Standard Area25m²

Ceiling Height3000mm

Briefing

Description

The Patient Bay - Emergency, Resuscitation provides the space, equipment and services for assessment, resuscitation, treatment and observation of patients with critical conditions and injuries within the Emergency Unit.

Hours of Operation

24 hours

Occupancy

1 patient; up to 8 staff

Additional Considerations

~ The requirement for body protection or cardiac protection within the Patient Bay - Emergency, Resuscitation, in accordance with AS/NZS 3003, is to be confirmed at project level based on the medical procedures to be undertaken in the space and the level of protection against electric shock afforded in the medical electrical equipment available for these procedures. ~ Clear area is required to both sides of the patient bed to accommodate an ambulance trolley and the staff and equipment required to assist/complete patient transfers. Work health and Safety (WHS) policies and patient transfer devices that are intended to be used should be confirmed at project level. Ceiling mounted patient lifting tracks may be considered based on local WHS policies. ~ Use of mobile imaging equipment within the resuscitation bay is to be confirmed at project level. Radiation shielding and signage requirements will need to be assessed and advised by a qualified Radiation Consultant to meet relevant legislation and local radiation safety policies. ~ Clinical requirements and models of care for paediatric and neonatal patients are to be confirmed at project level. One resuscitation bay may be assigned for use with paediatric and neonatal patients and hold the required equipment (e.g. appropriate resuscitation trolleys and warming equipment) and consumables. Alternatively, equipment and consumables for paediatric and neonatal patients may be stored in a central shared zone to be brought any resuscitation bay as required. ~ Clinical requirements and models of care for trauma services, and their resulting spatial requirements are to be confirmed at project level. ~ The content and configuration of the medical services pendant, including medical gases, power and data, will be dependent on clinical services requirements and medical equipment selection, and is to be confirmed at project level. A medical services panel may be provided in lieu of a medical services pendant, depending on models of care and subject to consultation and confirmation with Emergency Unit clinicians. ~ Provision of reticulated nitrous oxide is optional and must be conﬁrmed to suit local jurisdictional policies and operational service requirements. The use of nitrous oxide is declining due to a range of clinical and environmental concerns. Reticulated systems have been found to increase leakage of nitrous oxide (a potent greenhouse gas) to the atmosphere, can increase facility operating costs and potentially expose staff to nitrous oxide. Reticulated nitrous oxide and associated scavenge outlets are not mandatory for any healthcare service and point of care cylinders can meet clinical requirements for the majority of healthcare facilities. Due consideration must be given to a range of operational considerations including monitoring and measurement of usage, management of leakage, WHS requirements relating to the use of cylinders, approach to the provision of scavenge where cylinders are used, appropriate storage for cylinders, and security of gas sources given nitrous oxide is used as a recreational drug. ~ Enclosing the Patient Bay - Emergency, Resuscitation may be considered at project level. Where a bay is enclosed, provision of sliding glazed doors that support observation is advised. ~ Where the Patient Bay - Emergency, Resuscitation is enclosed for use as a negative pressure isolation room, an anteroom and an ensuite 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 suit local engineering services guidance. Provision of negative pressure isolation resuscitation rooms will be dependent on jurisdictional requirements, clinical services planning, service level and patient profile, and must be confirmed at project level. ~ Direct access from ambulance arrivals or a diagnostic imaging room to a Patient Bay - Emergency, Resuscitation may be provided depending on clinical services requirements and operational models. Provision of an additional point of entry to the resuscitation bay will require coordination with ceiling and wall mounted equipment. ~ Personal protective equipment (PPE) is to be in readily accessible locations between resuscitation bays. Refer to Part D: Infection Prevention and Control for more information. ~ Patient monitoring and display screen requirements (e.g. for viewing patient information, review of medical imaging from portable imaging equipment, use of a emergency decision support tool, etc.) are to be confirmed at project level to suit clinical services requirements and local ICT strategies and policies. ~ Provision of cameras for capturing treatment for use in education, streaming to education spaces and/or to enable remote assistance in small services will be dependent on clinical services requirements (including for virtual models of care) and local ICT strategies and policies. ~ Close access is required to linen bays and blanket warming cabinets. ~ 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. ~ The type, extent and configuration of storage within the room for consumables will be dependent on clinical services requirements, operational policies for stock centralisation/decanting and IPC policies. ~ 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. ~ 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.

Performance Requirements

HVAC

Air Conditioning (General)

Lighting

GeneralColour Corrected

Electrical

Body Protected

Nurse Call

Buttons / Handset

Items

Code	Description	Qty	Priority	Category	Comment
FIBM-019	WHITEBOARD: fixed, magnetic	1	Standard	—	—
FIDI-101	DISPENSER: PPE, disposable masks, wall mounted	1	Standard	—	provided in addition to PPE bays shared between resuscitation bays
FIDI-106	DISPENSER: PPE, disposable gloves, wall mounted	1	Standard	—	provided in addition to PPE bays shared between resuscitation bays
FIDI-231	DISPENSER: paper towel, wall mounted	1	Standard	—	to basin
FIDI-241	DISPENSER: alcohol-based hand rub, wall mounted	1	Standard	—	—
FIDI-256	DISPENSER: soap, wall mounted	1	Standard	—	to basin
FIDI-261	DISPENSER: soap, antimicrobial, wall mounted	1	Standard	—	to basin
FIHR-115	BRACKET: sharps bin, trolley mounted	1	Standard	—	to resuscitation trolley
FIHR-151	PANEL: storage baskets, wall mounted	2	Standard	—	type and extent of storage for consumables is to be confirmed to suit clinical services requirements, operational models for stock centralisation/decanting and local IPC policies
FIHR-212	BRACKET: computer display screen, single, articulated, wall mounted	1	Optional	—	optional, to display screen for decision support tool if provided
FIHR-331	BRACKET: display screen, single, fixed, wall mounted	1	Optional	—	optional, to display screen for patient information and diagnostic imaging if provided
FIHR-403	BRACKET: patient monitor, fixed, ceiling mounted	1	Standard	—	to slave display screen for patient monitor
FIRT-051	TRACK: curtain, privacy	1	Standard	—	—
FIRT-091	TRACK: IV, ceiling mounted	1	Optional	—	optional, may alternatively be provided as services pendant head mounted or mobile poles; to be coordinated with procedure light and medical services pendant
FQBS-203	STOOL: clinical areas, mobile, high	1	Standard	—	to write-up workstation
FQCL-211	LINEN CARRIER: dirty, single skip	1	Standard	—	—
FQGE-101	CURTAIN: privacy screen	1	Standard	—	—
FQGE-112	BASKET: storage, for wall mounted panel, small	8	Standard	—	type and extent of storage for consumables is to be confirmed to suit clinical services requirements, operational models for stock centralisation/decanting and local IPC policies
FQWS-003	BIN: sharps, clinical, medium	1	Standard	—	to resuscitation trolley; size to suit clinical services requirements and operational models for frequency of disposal
FQWS-053	BIN: general waste, 50L	1	Standard	—	size, type, quantity and location of waste bins will be dependent on clinical services requirements, operational models for waste management and local IPC policies
FQWS-233	BIN: clinical waste, 50L	1	Standard	—	size, type, quantity and location of waste bins will be dependent on clinical services requirements, operational models for waste management and local IPC policies
HYBA-101	BASIN: type A, handwashing	1	Standard	—	with removable shroud to pipework; location of thermostatic mixing valve to be determined based on ability to share with nearby basins
HYTP-067	TAPWARE: basin, tap set, wall mounted, lever handles	1	Standard	—	selection of basin and tapware should be coordinated to ensure compatibility
ITBU-482	CLOCK: digital display, with time and elapsed time, electric, synchronised slave, wired internet protocol (IP), wall recessed	1	Standard	—	—
ITCL-351	DISPLAY SCREEN: patient treatment information	1	Optional	—	optional, for decision support tool display; provision and placement dependent on clinical services requirements
ITCL-351	DISPLAY SCREEN: patient treatment information	1	Optional	—	optional, for patient information and diagnostic imaging display; provision and placement dependent on clinical service requirements
ITCL-431	CAMERA: patient observation, ceiling mounted	2	Optional	—	optional, for education and/or to enable remote assistance in small services; provision, quantity and placement is dependent on clinical services requirements and local ICT strategies and policies
ITNE-076	TELEPHONE: handset, wall mounted	1	Standard	—	to write-up workstation
ITNE-102	COMPUTER: dual display screens, central processing unit (CPU), keyboard and mouse, desktop	1	Standard	—	to write-up workstation; provision of articulated wall or bench mounted brackets may be considered for ergonomics and to support flexible positioning of workstation for visibility of patient.
JOBE-031	BENCH: 600D, laminate	1	Standard	—	—
JOBE-211	BENCH SUPPORT: bracket	3	Standard	—	—
JOBE-251	CAP: cable access	1	Standard	—	to write-up workstation
LIFX-131	LIGHT: procedure, single articulated arm, 1 light head, ceiling mounted	1	Standard	—	to be coordinated with ceiling mounted IV track and medical services pendant
MMBE-111	BED: patient, electric, with mattress, emergency	1	Standard	—	—
MMGE-039	HANGER: IV, for ceiling track	1	Optional	—	optional, to ceiling track if provided, may alternatively be provided as services pendant head mounted or mobile poles
MMGE-045	POLE: IV, mobile	1	Standard	—	as required to suit portable equipment positioning
MMHA-002	DEVICE: defibrillator	1	Standard	—	to resuscitation trolley
MMHA-031	TROLLEY: resuscitation, adult	1	Standard	—	—
MMHA-032	TROLLEY: resuscitation, paediatric	1	Optional	—	optional, may alternatively be provided in a shared area between resuscitation bays or in a dedicated resuscitation bay
MMPH-001	SAFE: dangerous drugs, wall mounted, small	1	Optional	—	optional, may be provided in a shared area between resuscitation bays; provision in bay will be dependent on operational models for medication management
MMPH-021	FRIDGE: medication/ vaccine, 150L nom, single door under bench	1	Optional	—	optional, may be provided in a shared area between resuscitation bays; provision in bay will be dependent on operational models for medication management
MMPM-051	MONITOR: patient, slave	1	Standard	—	on ceiling mounted bracket, display feed from patient monitor on services pendant head
MMTR-016.02	TROLLEY: stainless steel, wire mesh drawers, 490W x 600D x 900H nom, 4 drawers	4	Standard	—	type and extent of storage for consumables is to be confirmed to suit clinical services requirements, operational models for stock centralisation/decanting and local IPC policies
MMTR-053	TROLLEY: airway/intubation, 750W x 490D x 900H nom	1	Standard	—	—
MMTR-092	TROLLEY: procedure, 600W x 490D x 900H nom	1	Standard	—	—