Workplace Infrastructure
Bild H 9.4 cm x W 27.53 cm Dräger Medical Workplace Design in Workplace Infrastructure Second Saudi Forum for Planning and Design of Hospitals – Riyadh KSA Lübeck, April 2014, Torben Hecht Agenda 1 Introduction Dräger Medical and Workplace Infrastructure 2 Workplace Design in Intensive Care 3 Workplace Design in Neonatal Care 4 Workplace Design in Operation Room 5 Planning Tools 3 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Introduction Dräger Medical Dräger's corporate structure and guiding principle Drägerwerk AG & Co. KGaA Dräger Medical GmbH Affiliated companies in Germany and abroad Stefan Dräger, CEO, Drägerwerk Verwaltungs AG 4 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Dräger Safety AG & Co. KGaA Affiliated companies in Germany and abroad Introduction Dräger Medical a family business in its fifth generation 5 | 47 Heinrich Dräger, 1847 – 1917 Businessman Drägerwerk founder Manager 1889–1914 Dr. Christian Dräger, born 1934 Dr. oec. Publ., Dipl.-Kfm. CEO, Drägerwerk AG 1984 – 1997 Dr. Bernhard Dräger, 1870 – 1928 Dr.-Ing. h. c. Co-founder of Drägerwerk Managing Director, 1902 – 1928 Theo Dräger, born 1938 Dipl.-Kfm. CEO of Drägerwerk AG 1997 – 2005 Dr. Heinrich Dräger, 1898 – 1986 Dr. med. h. c., Dr. agrar. Managing Director of Drägerwerk, 1928 – 1984 Stefan Dräger, born 1963 Dipl.-Ing. (BA) CEO since 1 July 2005 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Introduction Dräger Medical 125 years of tradition and experience Startup and first patent for the “Lubeca valve” First subsidiary in the United States 1889 1907 Today: More than one patent application per week on average 6 | 47 1902 1930 The first in the long line of Dräger anesthesia machines: “Dräger-Roth” Gas analysis technology with Dräger gas detection tubes Today: Comprehensive, single-source processoriented solutions Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Today: Custom solutions in the shutdown & rental management sector Introduction Dräger Medical 125 years of tradition and experience “Dräger Alcotest” breathalyzer Stefan Dräger takes over as CEO 1953 2005 1970 Transformation into German stock corporation Since 2002: Dräger listed on the German TecDAX index 7 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 2007: Change of legal form and group structure Dräger takes its social and environmental responsibilities seriously and operates according to sustainable business practices. Introduction Dräger Medical Our Focus Normal Care/ Intermediate Care Intensive Care Neonatal/ Paediatric OR/ Induction/ Recovery Intensive Care Adults Emergency Department/ Shock room/ Examination room 8 | 47 Gas Management Systems Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Introduction Dräger Medical Overview Workplace Infrastructure Medical Lights & Video Medical Supply Systems - Ceiling Opera Polaris 5xx/7xx Forta Polaris 100/200 Movita Polaris 50 Pendula Agila Medical Supply Systems – Beam/ Wall Ponta GeminaDUO Linea 9 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Video Variolux Gas Management Systems Introduction Dräger Medical Our Service 10 | 47 Planning Project Management Installation After Sales / Service Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Agenda 1 Introduction Dräger Medical and Workplace Infrastructure 2 Workplace Design in Intensive Care 3 Workplace Design in Neonatal Care 4 Workplace Design in Operation Room 5 Planning Tools 11 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Ergonomic and efficient media supply through Workplace Design A good organized and ergonomically arranged Workplace increases security of patient and staff increases working speed/ efficiency increases hygiene increases job satisfaction … … this supports the clinic management in its achievement! 12 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Current situation in hospitals – “spaghetti syndrome” patient 13 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care The ergonomic workplace of today … … is the result of the logical planning of many individual components 14 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Basic requirements … • Access and liberty of action around patients head • Free moving space for staff • Free moving space for devices • Space for PDMS or documentation by paper • Clearly arranged and human engineered medical devices Space for device carriers Liberty of action around the bed Access to the head of patient 15 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Wet and dry side allocation … Wet side: Dry side: • Fluid management • ventilation • monitoring Suctioning (?) • suctioning (?) • Floorspace for • Care Trolley • X- Ray Equipment • Ultrasonic • Endoscopes • Kidney Dialysis • Temperature Management … supports hygienic separation and safety 16 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Patient … Healing environment • Privacy • Security • Hygiene • Light • Air • Sound • Smells • Colors/ Decoration • Visitors • Infotainment* * Information and entertainment 17 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Patient bed … 18 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Medical Staff … • Ergonomic work processes • Simple communication • Light and friendly ambient Approx. 80% of all staff are right handed 19 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Patient Lifter … … helping to mobilize patients 20 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Work surfaces … Sterile and mobile work surface 21 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Documentation … Traditional Zoning IT - Integration 22 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Bronchial suctioning … 23 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Ventilation Bag … 24 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Monitoring … 25 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Fluid Management … Agila Column 26 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Ventilation … … fixed 27 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Ventilation … … mobile 28 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Examination Lamp … Polaris 50 Vario Lux 29 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Further devices … Are there further devices which are used by the medical staff and which has to be considered in the workplace? 30 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Equipment carriers … Agila column Rack Movita column Head and Rack 31 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care Workstation positioning requirements … Arm systems Beam systems 32 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Intensive Care … that all leads to the needed space requirements Robert Koch Institute (Germany) ~ 18 m² per bed National Health Estates (UK) Health Building Note 57 ~ 26 m² per bed Intensive Care 33 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 … individual approach regarding the requirements ! Agenda 1 Introduction Dräger Medical and Workplace Infrastructure 2 Workplace Design in Intensive Care 3 Workplace Design in Neonatal Care 4 Workplace Design in Operation Room 5 Planning Tools 34 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Neonatal Care The ergonomic workplace … … is the result of the logical planning of many individual components 35 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Neonatal Care The steps which lead to an ergonomic Workplace Design are nearly the same as in Critical Care … 36 | 47 • Basic requirements • Infotainment • Wet and dry side allocation • Examination Light • Patient – healing Environment • Further devices • Patient bed • Equipment carriers • Medical staff • Workstation positioning requirements • Work surfaces • Space requirements • Documentation • Bronchial suctioning • Ventilation bag • Monitoring • Fluid management • Ventilation Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Neonatal Care … to be considered in addition … 37 | 47 • High emotional impact for all people involved • Parents (visitors) spent significantly more time at the workplace • Space for Kangorooing • Higher requirements in regards to environment influences like noise, lighting, etc. Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 The Dräger “Noise-Ear” Workplace Infrastructure Workplace Design Neonatal Care Neonatal Care Workplace … … with Ceiling Arm System 38 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 … with Ceiling Beam System Workplace Infrastructure Workplace Design Neonatal Care Minimum width approx. 2.2 m Minimum depth approx. 1.8 m (does not include space for visitors, Kangorooing or further furniture) Neonatal Care 39 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 … individual approach regarding the requirements ! Agenda 1 Introduction Dräger Medical and Workplace Infrastructure 2 Workplace Design in Intensive Care 3 Workplace Design in Neonatal Care 4 Workplace Design in Operation Room 5 Planning Tools 40 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Operation Room Example Neurosurgery … • • • • • picture: room scenario Neurosurgery 41 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 observing devices/ inventory discussing framework conditions developing … Workplace Infrastructure Workplace Design Operation Room Example Neurosurgery … UTAS SU 1 … systematic design of the workplace NAV Material M1 M2 S2 SU 1 N1 Microscope 42 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design Operation Room Example Neurosurgery … room: length 7,0 m width 7,0 m height 3,0 m room size ~ 49 m² Template 3D-Tool 43 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 … individual approach! Agenda 1 Introduction Dräger Medical and Workplace Infrastructure 2 Workplace Design in Intensive Care 3 Workplace Design in Neonatal Care 4 Workplace Design in Operation Room 5 Planning Tools 44 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Planning Tools Planning and Designing … on time in early planning phases “inside” to “outside” beginning with patient requirements according to the work processes for the future (future proofing) all needed devices and accessories must be considered hospital staff architects and planners building companies product manufacturers 45 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Workplace Infrastructure Workplace Design and Planning Tools 46 | 47 Dräger Medical – Overview Workplace Infrastructure | Torben Hecht | April 2014 Thank you for your attention !
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