Okay these three days go down as some of the most frustrating, challenging and yet rewarding days that I have had in recent memory. But, like my trainer says …
“… pain is just the feeling of weakness leaving the body …”
Remember those 3 ER drawings that we voted on? Well we whittled them down to 1. [“There can be only one”] Not only did we vote, but so too did the other important people [e.g. lab and pharmacy]. Okay feeling good …
Remember the three NOT NEGOTIABLEs? … [Insert actual footprint]. Due to architectural constraints we were given a footprint that really challenged us to come up with a workable paeds and adult ER with ‘x’ many beds in each, 4 trauma bays, areas for a minor treatment, enough bathrooms patient rooms, isolation rooms [as per CSA code] and room for LAB, psychiatry, DI and staff areas. Moreover … many of these areas had to be reduced:
Down to business
We did what ER people do best … suck it up and deal. Together [and with invaluable help from the patients] we created a 2-dimensional layout of our ER with enough bath rooms family rooms etc … and it all seemed to fit and look workable.
2D to 3D
Next we began to recreate that 2-dimensional layout in 3-dimensional form … and we learned the meaning of scale. Unlike normal architects who [from what I was told] like to tell You how your room space should look, we were [again] doing something different. We began to create our own 3-d mock-up of the ER of the future for the architects to take back and do what they do best … take the innovation and tweak the form with function
It took us a day and a half and lots of angst, gluing, removing, re-cutting to the correct scale, re-gluing again only to remove because it wasn’t making CSA code … finally we had a workable model [that may change a bit yet] but it’s essentially there – our new ER
At the same time, half our team recreated mock-ups of one of the regular rooms and one of the trauma rooms. Complete with innovations such as “murphy chairs” that comedown from the wall and do not take up space and a mobile “flow station” for charting and entering orders.
Day 5 – Speech Day
Each team [neonatal ICU, Paeds outpatients, ER and others] got to showcase their mock-up rooms together with the 3-D diorama to a large crowd of patients, advocates, Ministry officials, members of the board. It was great to see the energy, pride and passion in that room. The higher-ups were [rightly] moved. The American architect-Sensei was astounded with the level of patient-centredness and ownership that we took. [ahem you’re in the home of Canadian health care] All in all an exhausting day, but we were all ultimately very proud of the work that we had accomplished.
Reflecting on the week … I think that we ALL did right by our people. I don’t think that I will ever get the chance to do something like that again – so am grateful for the opportunity.
Now it’s up to the architects and some more “Rapid Process Improvement Workshops” [so maybe more bloggery to follow?]. Here’s the official video