1.

SCOPE OUT Large barn type spaces with flat floor areas for the ICU wards and
triage(dirty), adjacent space for storage, pharmacy, staff break out and
WCs (clean) and don/doff areas in between(clean/dirty)
2. LAY OUT 3. FIT OUT 4. KIT OUT
It is essential that an NHS fire
officer is involved from early stage,
aligning the existing venue fire
strategy with the new function,
10 considering different risks in the
form of increased oxygen and 6
3 evacuation of patients
5
3
7 2 5

2 8 Hospital bay construction

should be from
9 available materials
4 12 4
5 3 6 8
2 13

4
1 1
1
3 9
2
4 2
10

7 11
5
7
1

Venue requirements 6
8 Typical Bed Bay Clinical Equipment
1. Clear span, large flexible space
2. Proximity to appropriate staff accommodation 1. Bed bay [3500W x 4300L] 9. Oxygen monitor
3. Air ambulance access NHS Nightingale London Utilising Existing Infrastructure 2. Consumaries trolley 10. Chart table
4. Space for medical gases 3. LED overhead light [1200mm] 11. Stool
1. Central boulevard 6. CT / Diagnostics Wayfinding and signage is key to 1. Vinyl flooring
5. General parking 4. Bed trunking [3000W x 150H] 12. Ventilator
2. Ward 7. Mortuary assist staff in operation and make 2. Exhibition stand system
6. Ambulance parking & St John Ambulance base 5. 1x Oxygen 13. Electronic patient records
3. DON/DOFF areas 8. Staff canteen sure people stay in the allocated 3. Floor boxes in service zone
7. Temporary generators 6. 1x Oxygen & 1x Medical Gas
4. Pharmacy (extends to top floor) flow channel to avoid accidentally 4. Utilise available workforce from events sector
8. Space for staff changing and showers 7. Dispensers and sharps bin
5. Triage entering a dirty area Note Use what you have rather than trying to procure new and utilise large groups of available labour
9. Fire strategy consideration is key from the early stages 8. Clinical waste bins
10. Additional space to accommodate CTs (at least two for resilience) and temporary mortuaries

PATIENT FLOWS

1000mm
! Space should be easily
reconfigured and highly serviced DEPART ARRIVE (LOGISTICS) DEPART ARRIVE i Primary consideration should be given to infection
control separating clean and dirty areas. ! Pattressing existing stand
system for service fixings ! Hospital grade, non slip vinyl can be installed
quickly but the installation methodology needs i
AMBULANCE AMBULANCE to balance speed with robustness - ensuring • Bed bay row number
STORAGE appropriate bonding to avoid trip hazards
TRIAGE • Check for loose flooring around bed space and walkway

2000mm
BREAKOUT
WARD Nu
rse • Align the walls within the bay row
DON PPE sta
tio
ns

4300mm
all • Check for backing wall restraints
DIAGNOSTICS MORGUE ow
WARD ov
erv • Check for loose wall panels
iew
DEPART ARRIVE of

2300mm
DIRTY CORRIDOR clean route pa • Check for wall pattressing are behind the medical gas
CAR PARK CAR PARK tie
nts
LIFT TO CAR PARK • Check for medical gas stability
STORAGE WELFARE
SHOWERS • Check for electrical sign off certificate
BREAKOUT WCs (CATERING)
WASTE STORAGE
3500mm • Check for nurse call sign off certificate

2000mm
DON DOF
DECONTAMINATION dirty route Patient corridor
• Check for bed numbering signage
SORT
ON SITE
WARD

FLEXIBILITY & SERVICE INFRASTRUCTURE EQUIPMENT FLOWS CLINICAL STAFF FLOWS TYPICAL WARD ARRANGEMENT MODIFY EXISTING BALANCE SPEED WITH QUALITY TYPICAL BED BAY DIMENSIONS TYPICAL BED BAY QA CHECKLIST

i i Connections to venue
! Wash hand basin at nurse base.
!
NHS. NIGHTINGALE
should be sufficient for links COLD WATER ONLY
to local health trust IT
WAP

O 2
Numerous showers required for staff
INSTRUCTION MANUAL
PRE WIRED DADO TRUNKING

SWITCHBOARD
coming off shift
INSTALLED IN EACH BAY

To Bed Head PCs Clinical base mounted tap

MA
Notionally 2-3 staff per patient
3 Clinical back outlet basin
O2
To Bed Head PCs Assume 4,000 patients = 10,000 staff
Fixed panel
Assume 20% 10,000 for shower number
O2 SENSING = 2,000

O2 & Medical Air Temporary mobile type to permanent

Phone / Printer solution
Lockable door
PC
Medical Gas
Feeds from Basebuild IT in Floor Nurses’ Station
Ring Main Below
Nurse Call with Follow Me Lights to Bed Runs

GAS DISTRIBUTION IT & COMMUNICATIONS PUBLIC HEALTH FOR CLINICAL SPACES PUBLIC HEALTH FOR SUPPORT SPACES
TEMPORARY SERVICE ZONE
FOR WARD DISTRIBUTION

2 EXHAUST TO • Use existing systems and modify controls to maximise

Servicing Strategy OUTSIDE AT 5 fan duty and ensure full fresh air with no recirculation
1. Oxygen Vacuum Insulated Evaporators (VIE) H/L • Introduce a pressure regime to push air from clean
areas to dirty areas and out of the building
2. Medical Air Compressor
3. Concrete slab
4. 2x Gas circuits fed from below Managing Clean/Dirty Air Flow
5. Ward block above
1. Protected lobby
2. Nurse base
5 3. Bed bay
4. Automated fan
5. High level ventilation on full fresh air Ensure volume is
appropriately sealed and
openings filled accordingly

3
4
USE EXISTING INFRASTRUCTURE

DON
WITH INCREASED RESILIENCE

1
1
2 1

MO
RE
DI 1
RT
Y DOFF 4

3 2

LE
SS
DI D
RT AR
Y V
U LE
L BO
The provision of a resilient
RA

A. POWER B. MEDICAL GASES C. VENTILATION

oxygen infrastructure is crucial NT
CE
! Power infrastructure is fundamental as it needs to Nightingale hospitals.
to be sufficient to support the ICU function.