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Detailed design requirements for operating rooms and patient floors
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Rob Masters, lead healthcare architect for the MSK Pavilion Design Team, explains the detailed design requirements for the operating rooms and patient floors in the new Pavilion.
- Operating rooms require significant square footage to accommodate clinical teams, instrumentation, and advanced technology
- Floor-to-floor height is driven by equipment needs, structural requirements, and mechanical systems
- Patient room designs are based on minimum criteria for intensive care unit rooms, with similar infrastructure requirements as operating rooms
- Floor plans demonstrate the clinical density of the building, with no extraneous space
Rob Masters
0:45:16
Thanks, Doctor.
0:45:17
Driven.
0:45:17
Good afternoon, everyone.
0:45:19
I'm Rob Masters.
0:45:19
I'm a principal with Cannon Design.
0:45:21
I'm the lead healthcare architect for the MSK Pavilion Design Team.
0:45:27
If we could move to the next slide or just talk a little bit in further detail about some of the design drivers that respond to the needs that Doctor.
0:45:36
Drebon spoke about.
0:45:38
On screen, you can see a floor plan and a stride of it, a sectional diagram of an OR or an operating room that would be located in the Pavilion.
0:45:49
Just as Doctor.
0:45:50
Drabman indicated, we need We need square footage in the room to accommodate the multidisciplinary, the clinical team, as well as all of the clinical instrumentation, including imaging and robotics, that are necessary to deliver the cutting edge care that the clinical teams at MSK deliver every day.
0:46:13
In addition to the floor plate, the footprint of that OR requiring accommodating all of that personnel and equipment.
0:46:22
We also have floor to floor height necessary to accommodate that equipment as well, both within the room to accommodate robotics, ceiling mounted equipment and infrastructure distribution and delivery systems the lights and the booms that allow the surgical teams to perform the care.
0:46:40
But above the ceiling as well where we have structural requirements to support that equipment, the mechanical systems that drive the required to air changes to those rooms and provide the clinical environment necessary for surgical care.
0:46:54
And the structural infrastructure in the building that allows for the to support all of that load and also maintain the vibration criteria necessary to deliver surgical care.
0:47:07
So all of that, both below and above the ceiling, is driving the height of a typical operating room floor.
0:47:13
Next slide, please.
0:47:16
Similarly on the bed floors, we have that same clinical criteria driving both the footprint for the individual patient rooms, as well as the floor to floor height driving the construction of the overall building.
0:47:29
So our rooms are designed for the minimum criteria, the minimum clearances necessary for intensive care unit patient rooms that will be an element of the and really the driving organizing element for the patient floors in the building.
0:47:48
We have similar overhead booms in those rooms.
0:47:52
We have similar infrastructure requirements supporting the air systems, the medical gas systems, etcetera, and similar structural requirements to maintain the the vibration and the structural criteria for clinical care.
0:48:06
So whether we're talking about an operating room floor or a patient bed floor, we have those same criteria.
0:48:12
Next slide, please.
0:48:14
I just wanted to look at the overall floors for a moment to really demonstrate the clinical density of these floor plans.
0:48:21
As doctor Draymond indicated, there's no office space or administrative space that goes beyond the core clinical requirements on these floors.
0:48:32
So you can see on this floor plan, the complete perimeter is occupied by all of the patient bedrooms the very Spartan core in the middle is providing all of the clinical support space, the clean utility, the medication rooms, the nursing stations, all of the things that we need to be able to deliver care on those floors and take care of the 24 beds that are located on each of the floors.
0:48:55
Next slide.
0:48:58
Similarly, on the operating room floors, we have a very dense plan with 5 operating rooms organized around a very small, very dense clean core that provides the supplies to the surgical procedures with preoperative pet prep spaces along the north end and again the clinical support spaces that are required for those elements, not an inches spare on these floors that doesn't drive the clinical program that's that is required for the care delivery in the building.
0:49:31
Next slide.
0:49:33
So lastly, I just wanted to show how that starts to stack up in the in the overall building section.
0:49:39
As you can see, the the green floors are are surgical floors and surgical support floors the blue floors or the bed floors for the patient rooms above, and then those gray bars in between represent that mechanical and structural infrastructure space above ceiling.
0:49:55
So whether we're talking about the the the full gray floors that that support the primary mechanical equipment in the building or that individual dark gray strata above every floor providing that critical infrastructure all of that is is really the required space that's driving the height of the building.
0:50:19
I'd like to turn it over to to Paul Stanbridge to talk a bit about the building design.