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Graphic Standards: Critical Care

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Graphic Standards: Critical Care Graphic Standards: Critical Care Document Transcript

  • Critical Care lc Graphic Standards Programming and Schematic Design June 1999
  • Critical Care Table of Contents Table of Contents Function 3 Functional Areas 6 Functional Program 19 Nurses Station 6 Staff 4 Bubble Diagram 20 Medication Preparation 8 Advantages of Nourishment/Nutrition 9 Block Diagram 21 Movable Modular Casework 5 Patient Room 10 Preliminary Plan 22 Isolation Room 11 Equipment Storage 12 Schematic Plan 23 Clean Utility 13 Future Trends 24 Soiled Utility 14 Satellite Lab 15 Satellite Pharmacy 16 Administrative Office 17 Conference Room 17 Waiting Area/Lounge 18 Family Consultation 18 lc Critical Care 2
  • Critical Care Function Function From the beginning of organized nursing Types of Critical Care Units care, it was recognized that nurses were A small community hospital may have Respiratory Intensive Care Unit (RICU) able to provide the best nursing care if one or two critical care units; one for This medical unit is most frequently the sickest patients were placed closest to general intensive care and one for found in regions of the country subject to the nurses station, often with a higher coronary care. Larger regional and/or environmental stress (smog) and/or nurse/patient ratio for these patients. teaching hospitals may have several industrial conditions (mines, chemical From this concept, both the surgical specialty critical care units. The most plants), and care is directed toward recovery room and the critical care unit common are the following: patients with severe respiratory illnesses. have developed and withstood the test of time. Medical Intensive Care Unit (MICU) Burn Unit This unit will usually treat acutely ill This highly specialized unit cares Critical care units are patient units patients with medical diseases or exclusively for victims of burn accidents responsible for a specifically defined and problems such as diabetes, drug and their constant need for intense limited number of acutely ill, unstable, or reactions, respiratory infections, and infection control. This unit often contains potentially unstable patients who require cerebral vascular conditions. an operating room for skin grafting and constant instrument monitoring and a debridement, as well as hydrotherapy core of full-time nurses and staff with Surgical Intensive Care Unit (SICU) equipment. specialized training. Patients in this unit will have had major surgical procedures or complications Neurological Intensive Care Unit (NICU) Critical care units are intensive and requiring more than the normal post- This surgical unit cares for patients who stressful environments, and it is common operative care. have undergone neurological or cerebral for these patients to experience multiple “emergencies” during their stay. surgery. Coronary/Cardiac Care Unit (CCU) Accordingly, these units are normally This unit is a specialized medical unit Neonatal Intensive Care Unit (NICU) equipped and provided with a much restricted to patients with acute cardiac This unit provides exclusive care to the higher quantity of medical/surgical conditions. premature and/or distressed newborn. supplies, a larger variety of medications, and more types of support equipment and Cardiovascular/Open Heart Unit (CVU) Transitional Care Unit procedure capabilities in order to deal This unit is a specialized surgical unit for (TCU/Step-Down Unit) with this high incidence of “emergen- patients following open-heart or major The focus of this unit may vary among cies” without a time delay. vascular surgery. hospitals, but care is usually given to the Patient stays in the critical care unit are stabilized “graduate” of the critical care Pediatric Intensive Care Unit (PICU) usually short, and once a stable condition unit, who still needs more nursing care Patients in this unit range in age from the than that provided on the standard patient is maintained, they are transferred to newborn (excluding neonates) to sixteen unit. another appropriate patient unit. years of age, and cover a wide range of The most common critical care units pediatric medical and surgical acute include cardiac care units (CCUs) and illnesses. Children require specialized intensive care units (ICUs). The larger and unique nursing care and need to be and more specialized hospitals will isolated from adult intensive care units. provide more specialized types of critical care. lc Critical Care 3
  • Critical Care Staff Staff Physician Staff Nursing Staff Support Staff Physicians Nurse Manager Unit Secretary/Clerk The physician coverage consists of the The nurse manager, sometimes called Clerical staff within the critical care unit attending physician and the appropriate head nurse or nursing care coordinator, is perform such tasks as receptionist, house staff. Because of the complexity of a professional registered nurse (RN), physician order entry, filing of reports, illnesses, there may be many specialized often with advanced education, training, telephone communication, and consulting physicians, (e.g., a neurolo- and experience in critical care nursing. coordinating administrative activities. gist) and a chief physician assigned to the This position is responsible for the unit to oversee the medical practices of management of the entire unit, including Unit Staff the unit. the standards of patient care, capabilities Technicians, orderlies, and volunteers of the nursing staff, and consultation and assist staff nurses in the routine and interface with the medical staff on patient simple tasks in caring for patients, always care problems. under the supervision of an RN. Assistant Nurse Manager/Charge Nurse Support Staff The charge nurse is a professional A variety of other ancillary staff may registered nurse (RN), usually with have limited functions on the unit, such additional training and experience, and is as IV therapists, phlebotomists, the primary resource or management respiratory therapists, pharmacists, and staff on a particular work shift. The responsibilities of the charge nurse are similar to those of the nurse manager for day-to-day operations. Staff Nurse The staff nurse is a registered nurse (RN) with the primary responsibility for the total management of the patient’s care, or a portion of that care, including the administration of standard nursing procedures and treatments, and the evaluation of the patient’s condition and responses to treatments. Licensed Vocational Nurse Licensed vocational nurses (LVN), licensed practical nurses (LPN), or patient care assistants, having less skilled training and education than RNs, are responsible for only those duties appropriate to their experience. Patient care is supervised by the RN. lc Critical Care 4
  • Critical Care Advantages of Movable Modular Casework Advantages of Movable Modular Casework Hospital critical care units may differ somewhat in square footage, method of operation, and staffing based on the size of the hospital, type of hospital, and scope of services, but each hospital’s critical care units have certain functional areas in common. The following pages describe the advantages of movable modular casework, give a brief description of the functional areas of critical care units, and provide typical plan views of movable modular casework applications. Movable Modular Casework Nurses Station Financial Advantages The use of movable modular casework in The nurses station designed using movable The initial cost of movable modular the critical care unit offers the following modular casework provides the flexibility to casework is competitive with fixed major advantages and differences when accommodate the changes in technology and casework or millwork. However, the compared with fixed casework or in nursing care philosophy: life cycle cost of movable modular millwork: casework is far less than fixed · Ability to install and reconfigure to meet casework because of · Ability to reuse, relocate, or changing needs and staffing requirements. reconfigure all components as · Ability to accommodate and continually · Longer product life. functions change. change the numbers and sizes of monitors · Minimal maintenance cost. and patient information systems. · Better use of vertical space where · Continual reuse of the needed. · Unlimited electrical capabilities as well as components for new or different quick and easy access to electrical power. · Individual parts replaceable. functions. · Integral interior and exterior lighting. Additionally, movable modular casework · Integral computer support components · Ability to install and reconfigure with little downtime. can be used advantageously in three such as keyboard trays, turntables, etc. distinct functional areas: · Integral form trays and chart racks as · Accelerated depreciation rate, components of the modular system. especially important to “for- · Med prep areas. profit” organizations. Medical/Surgical Supply Storage · Nurses station. For preliminary budget purposes, The storage of medical/surgical supplies in a movable modular casework for a · Storage of medical/surgical supplies. critical care unit is located as close to the critical care unit has an average patient’s bedside as possible with a wide Med Prep Areas price in the range of $320 to $479 variety of back-up supplies located in a clean Movable modular casework com- per linear foot. utility room, medication, and/or treatment ponents provide a transport system for room. Movable modular casework This range will be affected by the replenishment or exchange of medica- components function as a movable system, utilizing a variety of cart sizes for handling density of overhead and under- tions as well as a double-locking procedures and supplies: counter storage components and the capability for securing controlled type of support structure used (wall- substances and narcotics. · Lockers for replenishment or exchange. mounted versus panels). Cantilevered workstations with modular · L carts. drawers, cassettes, and sinks provide · Procedure/supply carts. space for mixing IVs or preparing · Bulk supply carts. medications. · Crash carts. · Wire carts. lc Critical Care 5
  • Critical Care Nurses Station Functional Areas Nurses Station The nurses station is the critical care Monitor Station Doctors’ Dictation unit’s communication center, with a This is the most rapidly changing area of An area, usually a sit-down area with some central location in the unit, allowing full the critical care unit. There is continual acoustical control and access to vision of all patient beds and quick change in size and numbers of monitors telephones, should be provided for access to patients. The location should be due to constant changes in monitoring physicians to review patients’ charts, immediately identifiable to visitors, staff, technology. The size, activity, space dictate progress notes, and write patient and patients and located in a position to requirements, and number and types of orders. control personnel traffic, access to monitors in a nurses station will vary patient rooms, and delivery and retrieval with the number of beds and the acuity Charting of supplies and medications. level of the patients it serves. Often the A stand-up or sit-down area should be monitor station will require a separate provided with access to patient charts by The critical care unit nurses station is room for the CPU (with uninterrupted nurses and physicians. This area is commonly considered a workstation for power source) and electrical equipment generally maintained by the unit clerk or centralization of administrative tasks (printers, etc.). unit secretary. With the advent of bedside associated with patient care. Nurses computerized patient charting, there may stations are generally busy, intense There are two methods for integrating be a reduction of the charting space environments that support many monitors with nursing care. Unit staffing required within the nurses station. functions, processes, staff members, and may require nurses to view both the pieces of equipment. patient and the monitor. The alternative Cart Storage is a monitor station which requires a An area must be provided to store and Within the nurses station, the staff technician dedicated solely to quickly access crash carts and procedure manages patient records and charts, continuous viewing of patient monitors. carts. This area should be accessible to communicates regarding the patient’s supplies for restocking carts and have condition, views patient monitors, orders Because of the stress of the responsibil- electrical access to maintain rechargeable tests and treatments, and dispenses ity and fatigue incurred in the repetitive equipment. medications. nature of the work, the layout of the monitor station will need to include such Regulations for Nurses Stations Nurses stations tend to be most ergonomic considerations as National, state, and local legislation/codes congested during the first and second shifts when physicians are making will impact planning decisions such as · Viewing range, heights, and angles. rounds, visitors are present, tests and · Dissipation of heat generated by the · The requirements for regular- or medications are ordered, specimens are equipment. hospital-grade electrical receptacles. collected, and most supplies are being delivered or retrieved. · Monitor screen glare and overhead · The amount of paper stored in the lighting. nurses station. Hospitals may decentralize nurses stations to place activities and supplies · Seating appropriate for three shifts · Access for persons with disabilities. of personnel. · Prevention of cumulative trauma closer to patients. Decentralized stations tend to support a sub-set of activities · Distractions from other areas. disorders (CTDs). found in the central workstation. · Accommodation of appropriate ergonomic principles into computer/ monitor work areas. lc Critical Care 6
  • Critical Care Nurses Station Movable Modular Casework and Furniture Systems Applications A modular frame system may be used for the structural design of the nurses station with the following components as required: · Cantilevered work surfaces. • Maximum cable management. · External identification lighting. · Monitor shelves and angled monitor · Pass-through chart shelves. · Lateral filing components. work surfaces. · Internal task lighting. · Procedure and crash carts. · Computer tools and keyboard trays. · Unlimited high- and low-voltage electrical capabilities, including integration with emergency power systems. Plan View of a Nurses Station The nurses station will vary in size and configuration depending on the number of patients it serves and the complexity of the equipment it must accommodate. A critical care unit nurses station will range in size from 1200 to 2400 square feet. 92 linear feet work surface 8 linear feet overhead storage 400 filing inches 4 lockers 1750 square feet lc Critical Care 7
  • Critical Care Medication Preparation Medication Preparation The medication preparation area in Movable Modular Casework Applications critical care is similar to a general These areas may vary from unit to unit. The amounts and types of medical supplies medical unit except that it may include stored here also will vary depending on the type of replenishment or exchange system more STAT drugs of all types and more used. Movable modular casework components can be used for work areas and storage IVs and injectables than oral unit dose and may include medication. · Cantilevered work surfaces with · Double-locking drawers for the A refrigerator, usually under the counter, modular drawers or cassettes. necessary security of controlled is required for medications that require substances and narcotic medications. · Lockers with drawers or cassettes. temperature control. There also will be a · Medication cart. · Cantilevered sink unit. need for a lockbox for controlled substances. It is common to find medication stored by the patient’s bedside so it is immediately accessible rather than on a medication cart. Medications may also be inventoried in an automated dispensing machine. Plan View of a Medication Preparation Area A medication preparation area will range in size from 80 to 200 square feet. 25 linear feet work surface 2 emergency carts 2 procedure carts 2 medication carts 152 square feet lc Critical Care 8
  • Critical Care Nourishment/Nutrition Nourishment/Nutrition Critical care patients are frequently fed Movable Modular Casework Applications intravenously so there is less need here Movable modular casework components for a dedicated nourishment room. can be used for work areas and storage Regardless of its size and location, there and may include will be a need for an ice machine, refrigerator, and space to prepare tube · Cantilevered work surfaces with feedings. drawers. · Overhead shelving. · Cantilevered sink unit. Plan View of a Nourishment/Nutrition Area A nourishment/nutrition area will range in size from 80 to 150 square feet. 12 linear feet work surface 16 linear feet overhead storage 80 square feet lc Critical Care 9
  • Critical Care Patient Room Patient Room Critical care patient rooms are generally Movable Modular Casework Applications larger to accommodate large amounts of Movable modular components for the patient room may include equipment and supplies and will vary according to the unit’s specialty. The most · Bedside supplies placed in an L cart · Cantilevered work surface or mobile with drawers or in a C frame storage table with a keyboard tray as a station common environment is a ward with beds unit hung on a rail next to the bed. for nurse charting done on a bedside sectioned (for privacy) by cubicle curtains computer. and a nurses station placed in the center of · Locker within or adjacent to the the room allowing full view of the patient room to house immediate patients. necessary supplies and linen. Often, critical care units will have individual patient rooms, usually with video monitors (allowing nurses to view patients) or a glass wall on the front of the patient room to ensure visibility. Cardiac and other units may dim the lighting at all times to maximize patient sleep. Usually, any necessary minor surgical procedures are performed here to avoid moving the patient to another area. Treatment rooms are generally not found on critical care units; treatment is usually confined to the patient’s room. There generally is a “headwall” behind each patient’s bed or a freestanding utility column to mount monitors and equipment and to supply suction, air, oxygen, and regular electrical and emergency electrical services. Plan View of a Patient Room Patient rooms will range in size from 160 to 250 square feet. 6 linear feet work surface 10 linear feet overhead storage 1 L cart or C frame storage unit for bedside storage 1 locker for supplies 210 square feet lc Critical Care 10
  • Critical Care Isolation Room Isolation Room Isolation rooms are used by patients with Movable Modular Casework Applications highly communicable diseases or those Movable modular components within an who are unusually susceptible to isolation room may include infection. · L cart with drawers used as a bedside Cleanliness and contamination are key stand for general patient care items, concerns in these rooms. Only the most such as bed pan and wash basin. necessary supplies are stored in these rooms. An anteroom is provided, usually · L cart with C frame storage unit and drawers placed in an anteroom or with a sink and protective clothing supplies for those entering the room. outside in the hall and used as an isolation cart to hold gowns, masks, head coverings, and gloves for staff entering the isolation room. · Locker placed in an anteroom to house necessary medical/surgical supplies. Plan View of an Isolation Room An isolation room will range in size from 160 to 300 square feet. 8 linear feet work surface 12 linear feet overhead storage 1 L cart or C frame storage unit for bedside storage 1 locker for supplies 1 isolation cart 280 square feet lc Critical Care 11
  • Critical Care Equipment Storage Equipment Storage An equipment storage room is often Movable Modular Casework Applications available on critical care units and is Movable modular casework components relatively large because of the large can be used to store large and small amount of equipment used here (e.g., equipment and may include ventilators, dialysis machines, cardiac and respiratory equipment, etc.). Much of · Modular shelving units. the equipment must be accessible to electrical outlets to maintain battery · Bulk supply carts. charges. Plan View of an Equipment Storage Room An equipment storage room will range in size from 120 to 250 square feet. 16 linear feet storage 1 bulk supply cart 180 square feet lc Critical Care 12
  • Critical Care Clean Utility Clean Utility The clean utility room on the critical care Movable Modular Casework Applications unit requires more space than provided Movable modular casework components can be used for work areas and storage and on medical/surgical units; many more may include supplies, linens, procedure trays, and procedure carts are used on critical care · Cantilevered work surfaces with · Lockers for medical supplies and units. drawers. linen. · Extra-deep modular shelving units. · Bulk supply carts. The more specialized the unit, the more specialized are the supplies stored for · Procedure carts. future use. This room may or may not have a sink depending on codes. Plan View of a Clean Utility Room A clean utility room will range in size from 120 to 200 square feet. 8 linear feet work surface 16 linear feet overhead storage 5 lockers 1 bulk supply cart 145 square feet lc Critical Care 13
  • Critical Care Soiled Utility Soiled Utility The soiled utility room houses the soiled Movable Modular Casework Applications linen and used equipment and supplies Movable modular components can be used for work areas and overhead storage awaiting collection for disposal or including reprocessing. This room typically has a sink and a flushing-rim sink. · Cantilevered work surfaces with • Cantilevered sink unit. drawers. · CST frame storage units or extra- deep modular shelving units for overhead storage. Plan View of a Soiled Utility Room A soiled utility room will range in size from 120 to 200 square feet. 6 linear feet work surface 6 linear feet overhead storage 155 square feet lc Critical Care 14
  • Critical Care Satellite Lab Satellite Lab A satellite lab makes it possible to Movable Modular Casework Applications decentralize a lab’s services to respond Work areas can be different configura- quickly to a department’s specific needs. tions based on the size and space of the These labs usually will have “mini” critical care unit the satellite lab services versions of the chemistry, hematology, and generally require and urinalysis areas found in the primary lab. · Stand-up and sit-down work surfaces for specimen preparation. · Heavy-duty work surfaces and/or process tables for automated instruments. · Process tables at seated height for microscope use. · Overhead shelving for reagents and manuals. Plan View of a Satellite Lab A satellite lab will range in size from 150 to 400 square feet. 43 linear feet work surface 65 linear feet overhead storage 1 locker (optional) 332 square feet lc Critical Care 15
  • Critical Care Satellite Pharmacy Satellite Pharmacy A small satellite pharmacy may exist on Movable Modular Casework Applications the critical care unit. This decentraliza- The same movable modular casework tion of the pharmacy function allows for components used in the main pharmacy more rapid response to the needs of the are appropriate for the satellite patient and allows the pharmacist more pharmacy, allowing for continual involvement in the clinical therapy of the flexibility and change in the space. patient. The satellite pharmacy is staffed, stocked, and serviced by the primary pharmacy department. The space will vary in size but will usually contain a small drug picking area, sink, refrigerator, computer, printer, label printer, and controlled substance storage. Some satellite pharmacy areas may have a small laminar flow hood. Modular carts are appropriate for the transfer of medications to the satellite pharmacy. Plan View of a Satellite Pharmacy A satellite pharmacy will range in size from 120 to 250 square feet. 18 linear feet work surface 28 linear feet overhead storage 80 drug bins average 1 medication cart 1 locker 140 square feet lc Critical Care 16
  • Critical Care Administrative Office, Conference Room Administrative Office There may be a need for private offices within the units for small conferences and meetings with staff that require some privacy and confidentiality. Movable Modular Casework and Plan View of an Furniture Systems Applications Administrative Office Administrative offices may be furnished An administrative office will with modular furniture systems and range in size from 90 to 120 seating. square feet. Either full-height fixed, demountable 8 linear feet work surface walls or freestanding modular panels are 12 linear feet overhead appropriate. storage 40 filing inches Consistency between systems used in administrative and clinical areas allows 93 square feet for compatibility and flexibility when dealing with future changes. Conference Room Critical care units may require a variety Movable Modular Casework and of meeting spaces. These areas range Furniture Systems Applications from large rooms for staff meetings to These areas may be furnished with Shelf storage, tackboards, and marker smaller rooms where physicians or modular furniture systems and seating. boards are helpful in these rooms. nurses consult with a patient’s family members. Plan View of a Conference Room A conference room will range in size from 150 to 300 square feet. 12 linear feet work surface 24 linear feet overhead storage 80 filing inches 220 square feet lc Critical Care 17
  • Critical Care Waiting Area/Lounge, Family Consultation Waiting Area/Lounge Waiting rooms and lounges may be available for visitors of one or more units. Sometimes critical care units will have smaller private areas for family members who spend extended time at the hospital. The areas should be accessible to public phones. Seating generally is organized in small groupings. A workstation usually is provided for the volunteer assigned to the information desk. Movable Modular Casework and Furniture Systems Applications These areas may be furnished with modular furniture systems and seating. Plan View of a Waiting Area/Lounge Freestanding modular panels are A waiting area/lounge will range in size appropriate to divide the space into from 160 to 300 square feet. smaller, more private groupings. 216 square feet Family Consultation Critical care units tend to have one room Plan View of a Family designated for private meetings with Consultation Room family members or for patient home care A family consultation room training. will range in size from 100 to 150 square feet. Movable Modular Casework and Furniture Systems Applications 4 linear feet storage These areas may be furnished with 125 square feet modular furniture systems and seating and may include a table, marker board, shelving, and comfortable seating. lc Critical Care 18
  • Critical Care Functional Program Functional Program Number Department Area Square Feet Movable Modular Casework Nurses Stations @________ sq. ft. Dictation Areas @________ sq. ft. Medication Preparation Areas @________ sq. ft. Nourishment/Nutrition Areas @________ sq. ft. Patient Rooms @________ sq. ft. Isolation Rooms @________ sq. ft. Equipment Storage Rooms @________ sq. ft. Clean Utility Rooms @________ sq. ft. Soiled Utility Rooms @________ sq. ft. Satellite Labs @________ sq. ft. Satellite Pharmacies @________ sq. ft. Staff Toilets @________ sq. ft. Janitor’s Closet Subtotal Modular Furniture Systems Administrative Offices @________ sq. ft. Conference Rooms @________ sq. ft. Waiting Areas/Lounges @________ sq. ft. Family Consultation Rooms @________ sq. ft. Subtotal TOTAL NET SQUARE FEET Net-to-Gross Conversion Factor X TOTAL GROSS SQUARE FEET lc Critical Care 19
  • Critical Care Bubble Diagram Bubble Diagram The bubble diagram of the critical care unit demonstrates typical departmental relationships and interaction between areas. Necessary adjacencies within the department become clear. NOURISH WAITING MEDICATION FAMILY CONSULTATION PATIENT ROOMS NURSES STATION ADMIN CONFERENCE CLEAN UTILITY SOILED UTILITY EQUIPMENT lc Critical Care 20
  • Critical Care Block Diagram Block Diagram The block diagram demonstrates the adjacencies and relative sizes for the areas within a typical critical care unit. Evaluation of the work flow and materials flow from the bubble diagram has determined this initial general layout. The size of each area is determined by combining the typical movable modular casework plans for each identified function. Traffic patterns are developed, and an overview of the general work process can be evaluated. lc Critical Care 21
  • Critical Care Preliminary Plan Preliminary Plan The preliminary plan clarifies the critical care unit space requirements by showing the location of all the fixed walls and open areas and identifies entrances, exits, and exact traffic patterns. lc Critical Care 22
  • Critical Care Schematic Plan Schematic Plan The schematic plan shows all of the specific movable modular casework, modular furniture systems, and materials handling components appropriate for a typical critical care unit. NURSES STATION lc Critical Care 23
  • Critical Care Future Trends Future Trends Increased Levels of New Technologies Methods of Patient Care Acuity in Patients Rapidly changing technology, new Nursing care is moving toward the Because of the increasingly aging instrumentation, and more sophisticated “patient-focused” care concept. The population, there will continue to be an methods of treatment will necessitate re- emphasis of this concept creates a non- increase in the level of acuity of the evaluation of the use of space, movement institutional environment, breaking down inpatient census. The census of the of supplies and inventories, and barriers between the staff and the patient, critical care units will continue to rise. particularly the ability to make rapid bringing services to the patient rather The treatment of these more acutely ill changes with minimal downtime. For than taking the patient to the services, patients will continue to require example, automated medication and encouraging family interactions with increased supplies, medications, and dispensing machines are appearing on the staff and patient. support staff on the critical care units. critical care units. Critical care units moving toward this Healthcare delivery will continue to method of nursing care will be creating move toward being a more high-risk new spaces for social, educational, and business, forcing extensive new functional activities and providing an regulations and policies, and thus atmosphere of comfort, dignity, and continue to produce constant changes in control for the individual patient and the medical procedures and nursing family: functions performed on the critical care units. · Traditional nurses stations will change due to the use of bedside computers for documentation of patient care, and conference areas will increase so the family can play an active part in the care plan. · More medical supplies, linen, and individual patient medications may be stored in closer proximity to the patient room. · Satellite pharmacies are becoming an integral part of critical care units. lc Critical Care 24
  • For the location of the sales facility or dealer near you, visit www.hermanmiller.com/healthcare or call (800) 628 0058. © 1999 Herman Miller, Inc., Zeeland, Michigan ® Z, Y, Action Office, Aeron, Ambi, Arrio, Beirise Collection, Co/Struc, Custom Choices, Eames, Equa 2, Ergon 3, Ethospace, E-Wall, Frottage, Ground Cloth, Harmonics, Hollington, Intersite, Kinemat, Liaison, Meridian, Milcare, Mosaic, Newhouse Group, Pellicle, Perspectives, Proper, Pulsar, Rapid Response, Relay, Response Plus, Scooter, Super Room, Systems Bridge, Timepiece, V-Wall, and Wild Card are among the registered trademarks of Herman Miller, Inc. ™ Y, Aeron Chair Configuration, Ambassador, Burdick Group, Chadwick, CLT, CoActive, DIAMOND, Flex-Edge, Florence, ID, Iota, Milafin, Myriad, Passage, Potomac, Puzzle, Q, Raleigh, Rapunzel, and lc Traverse are among the trademarks of Herman Miller, Inc. SM OASIS is a service mark of Herman Miller, Inc.