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Title

Thornton Hospital: An Analysis and Redesign

Steffan McMurrin
Lisa Duy
Jennifer Lee
Evan Prowten
Jason Najarro
Jill Iwasaki
Index
1. Redesign Of Assignment Board
- Digital Assignment Board
- Nurse Scheduler

2. Shift Change
- Redesigning the Lounge
- Facilitating Shift Change
Current Solution

Assignment
Board

Shift Change
Space
Redesigning the
Assignment Board
Task Analysis
• Updating Patient List
• Make Nurse Assignments
• Nurses Get Assignments
Assignment Board Usage

RN’s

Charge Nurse

Assignment
Board

1. Update patient list


3. Nurses get
Assignments
2. Make nurse assignments
Tasks
Task 1: Update Patient List
New Patient Doctor

New Patient Doctor

Census
Task 2: Make Nurse Assignments

_
?
Task 2: Make Nurse Assignments

Must Maintain 5:1


Patient:Rn ratio
Task 2: Make Nurse Assignments

Diabetic Patient=Extra Work


Task 2: Make Nurse Assignments

This patient
only speaks
Hindi
Task 2: Make Nurse Assignments

This patient is
heavy. Will
need a strong
nurse to move
Task 2: Make Nurse Assignments

This patient is
very
temperamental
Task 2: Make Nurse Assignments

Must Maintain 5:1


Patient:Rn ratio
Solution
Digital Assignment Board
Digital Assignment Board
Demo
Digital Assignment Board

Computer
System

PCARS
w/
Assign.
info

RN’s

Front Nurse Shift Change or


Station Patient Back Nurse Lounge Room
Room Station

Charge Nurse
Current Solution

Assignment
Board

Shift Change
Space
Shift Change
Shift Change Issues
Space People

Redesigning the Lounge Facilitating Shift Change


1. I never have enough surface space. 1. I need to figure out who to see?

2. I want to have face to face interaction. 2. Where is the outgoing nurse?

3. We need a private place to exchange


information.
Issue – Surface Area

“…There's just not enough space on the table.” 
Issue – Face to Face Communication

The Nurse Station does not afford face to face communication
Issue ‐ Privacy

“I'm also worried about HIPAA, because we are here and some 
people are passing, sometimes they hear what you are saying.”
Solution
Repurposed Lounge
Shift Change & Lounge Room Redesign

TV / Outgoing
LCD Display
Nurse Queue

Lockers
Table
Door to
Door Secret
Secret
Hallway
Table Hallway
Lockers

Refrigerator Couch
Couch
Solution: Height
Surface
Privacy Area

3. The
2.
1. Facelounge
Providing is interaction
to Face a private
enough area
surface space
--Tables
No
Designing
HIPAA violations
specifically
are equal height,fornurses
shift change
are
positioned across from each other
Design Iteration
Design Iteration

Room during shift change Room after shift Change


Design Iteration - Negatives

Interview with
RN Jason

- Nurses close together


will be noisy

- Nurses will not rearrange


the tables
Design Iteration - Positives

Interview with
RN Jason

- Nurse are spread out.

- Multi-purpose configuration
- Shift Change
- Lounge
A Design Decision!

Room during shift change For meetings


Room after
orshift
when Change
necessary
Shift Change Issues
Space People

Redesigning the Lounge Facilitating Shift Change


1. I never have enough surface space. 1. I need to figure out who to see?

2. I want to have face to face interaction. 2. Where is the outgoing nurse?

3. We need a private place to exchange


information.
Issue – Stale Information

The information on the board can change after the


nurses come in.
Issue – Finding People I have been looking for you,
like EVERYWHERE!!!

“..sometimes it’s hard to find the outgoing nurses,


especially when they are in a patients room.”
Solution
Shift Change Queue

Rachel Bill Jack Jen Tracy

Karen Karen Karen Lisa Lisa


Alex Lisa Alex Natasha Karen
Lisa Natasha Natasha Betty
Natasha Karen

Rachel Jen

Natasha
Lisa

Betty
Shift Change Queue

Rachel Bill Jack Jen Tracy

Karen Karen Karen Lisa Lisa


Alex Lisa Alex Betty Karen
Lisa Natasha Natasha Karen
Natasha

Rachel Jen

Lisa

Betty Natasha
Shift Change Queue

Rachel Bill Jack Jen Tracy

Karen Karen Karen Lisa Lisa


Alex Lisa Alex Betty Karen
Natasha Natasha Natasha Karen

Rachel Jen

Natasha Lisa

Betty
Shift Change Queue

Rachel Bill Jack Jen Tracy

Karen Karen Karen Lisa Lisa


Alex Lisa Alex Betty Karen
Natasha Natasha Natasha Karen

Rachel Jen

Natasha
Shift Change Queue

Rachel Bill Jack Jen Tracy

Karen Karen Karen Lisa Lisa


Alex Lisa Alex Betty Karen
Natasha Natasha Natasha Karen

Rachel Jen

Betty
Natasha

Lisa
End