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Tag: Accessible Design and Construction

Trends in Healthcare: Nurse Call Devices

“Trends in Healthcare” is a recurring series that focuses on exciting new designs and technologies we’re seeing in healthcare projects and provides best practices on how to ensure that these latest trends are accessible to persons with disabilities. We build on the wealth of knowledge we gain from working with healthcare design teams, construction crews, and practitioners to provide practical solutions for achieving accessible healthcare environments.


According to the U.S. Centers for Disease Control and Prevention (CDC), falls account for 3 million injuries treated in emergency rooms, 800,000 hospitalizations, and 28,000 deaths each year in the U.S. One in five falls cause serious injuries such as concussions/traumatic brain injuries and hip fractures. Not only is this a public health concern, it is extremely costly. According to the CDC, medical costs directly related to injuries resulting from falls totaled more than $50 billion in 2015.[1] Within hospitals and long-term care facilities, effective implementation of interventions and design strategies to reduce patient falls are key to increased patient safety and decreased medical costs. However, it may not be possible to eliminate patient falls altogether, so features like a properly installed nurse call system can be life changing.[2]

Accessible Nurse Call Stations

Most state and local standards and regulations require nurse call devices in each public toilet room and within inpatient bath, toilet, and shower rooms.[3,4] Where provided in spaces required to be accessible, the nurse call device must also be accessible. An accessible nurse call device is one that meets the following requirements:

  • All operable parts, including call reset switches, are within accessible reach range (15-48″ AFF);
    • NOTE: Determining compliant mounting height requires coordinating with the location of operable parts on the specific model used.
  • Operable parts do not require tight grasping, pinching, or twisting of the wrist to operate; and
  • Operable parts can be activated with no more than 5 pounds of force.

The location of operable parts differs between models of nurse call devices. It is important to determine mounting location based on the specific model of device being used.
Models shown (clockwise, L to R): Intercall Emergency Stations; Becas BeSmart Nurse Call System; Cornell Visual Nurse Call System

While these criteria appear straightforward, proper placement of nurse calls can become complicated when coordinated with minimum grab bar clearances and additional requirements under FGI, NFPA 99, NFPA 70, Ul 1069, UL 2560, and other local codes.

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The Top 10 Party Walls Posts of 2018!

2018 has been a year to remember for SWA’s Party Walls blog. Our consultants have shared their passion for high performance buildings by recounting stories from the field and providing information, new findings, and best practices to improve the built environment.

Whether discussing topics based in New York City or Southeast Asia, here are our fan favorites from 2018…

Collage of blog images

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SWA’s Accessibility Services – Leading the Industry Forward

Being visionary is one of the things we do best here at SWA, and we strive to lead the industry forward by sharing our expertise. Recently, Peter Stratton, Senior VP and Managing Director, Accessibility Services and Mark Jackson, Accessibility Consulting Director did just that by presenting on accessibility related topics in Washington, DC and in New York City.

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Tech Notes: Meeting the Accessibility Criteria for Horizontal Exit Doors

Getting out of a building during a smoke or fire event can be traumatic for anyone. But, just imagine how traumatic it can be for a person who uses an assistive device, such as a wheelchair? If proper maneuvering clearance is not provided at doorways, then a person can become trapped.

Building code requirements for accessible means of egress have been developed to ensure that people with disabilities can exit buildings safely in the event of a fire. These requirements, found in chapter 10 of the International Building Code (IBC), establish proper maneuvering clearances at certain doors to safeguard against the potential for entrapment. Horizontal exit doors are an example of such doors.

Horizontal Exit Doors

horizontal exitWe’ve all seen them; in a hospital corridor, at the school cafeteria, or near the elevator lobby in a high-rise apartment building. They are doors that are held open most commonly by magnetic locks, which are connected to the building’s fire alarm system. When the building’s fire alarm is triggered, the magnetic hold-open device releases, and the doors close to contain smoke and flames.

 

The 2015 IBC defines a horizontal exit as:

“An exit component consisting of fire-resistance-rated construction and opening protectives intended to compartmentalize portions of a building thereby creating refuge areas that afford safety from the fire and smoke from the area of fire origin.”

 

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Trends in Healthcare: Patient Check-in Kiosks

“Trends in Healthcare” is a recurring series that focuses on exciting new designs and technologies we’re seeing in healthcare projects and provides best practices on how to ensure that these latest trends are accessible to persons with disabilities. We build on the wealth of knowledge we gain from working with healthcare design teams, construction crews, and practitioners to provide practical solutions for achieving accessible healthcare environments.

And now for our first installment…Patient Check-in Kiosks!


Check-in kiosks are becoming prevalent in state-of-the-art healthcare facilities. Where provided, at least one of each type of kiosk must be accessible.

Imagine that you are walking into the waiting room of your doctor’s office for your annual checkup. The waiting room is overflowing with people and the receptionists are answering phone calls, entering information into the computer, and taking care of the long line of patients ahead of you. That’s when, out of the corner of your eye, you see several touch screens located on a nearby counter. You’ve grown accustomed to self check-in kiosks at airports and theaters, but not at your doctor’s office. Eager to skip the long line, you make your way toward the digital devices. Hooray! Patient check-in kiosks have arrived!

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Designing for All: What the Cooper Hewitt’s Access+Ability Exhibition can teach us about Accessible Design

SWA’s Accessibility Consulting Team at the Cooper Hewitt Museum’s Access+Ability Exhibition

SWA’s Accessibility Consulting Team recently had the opportunity to tour the Cooper Hewitt Museum’s Access+Ability exhibition, where the theme of inclusive and accessible design is displayed and celebrated. The exhibit narrates a history of design with disabilities in mind, focusing on the “surge of design with and by people with a wide range of physical, cognitive, and sensory abilities.” As we moved through the exhibit, I found it fascinating to see how products or designs that were initially intended to address a need brought on by a disability (like email or text messaging) have now been adapted into everyday modern conveniences. It’s interesting to bring this idea back to our work as accessibility consultants – often, if designers are willing to incorporate inclusive or universal design principles, it is possible for accessible features to blend seamlessly into the overall design intent, providing an environment that can be easily and equally used by everyone, with or without a disability.

Here are some thoughts on the exhibition from other members of our Accessibility Consulting Team…

 

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Sustainable Spaces for Seniors

Panelists and organizers at the “Sustainable Spaces for Seniors: Design for Aging and the Environment” event at Hafele’s NYC Showroom

On May 1st, 2018, Steven Winter, founder and chairman of Steven Winter Associates (SWA), and Harold Bravo, Accessibility Consulting Director at SWA, moderated an event at the Hafele Showroom to discuss senior housing in New York City and its relation to accessible and sustainable design. The event was organized jointly by the AIANY Design for Aging Committee (DFA) and the AIANY Committee on the Environment (COTE).

A panel of experts presented perspectives from architecture, real estate development, and municipal government, and discussed the challenges of designing sustainable, comfortable, accessible, and healthy buildings for the aging population in New York City. The panel included Kleo J. King (Deputy and General Counsel, Mayor’s Office for People with Disabilities), Isaac Henderson (Development Director, L+M Development Partners), Jack Esterson (Design Partner, Think! Architecture+Design), and Rich Rosen, AIA, LEED AP (Principal, Perkins Eastman).

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Tech Notes: Accessible Design Solutions for Protruding Objects

Limits of Protruding Objects
[US Access Board]

When most people think about accessible design, the first thing that comes to mind is designing for people in wheelchairs. However, there’s a lot more to it than that. Requirements in federal, state, and local accessibility laws and codes account for a wide range of disabilities, including vision impairments. One of the most important design considerations for people with vision impairments is eliminating projections into the circulation path. Objects projecting from walls or other fixed elements can pose a hazard if they do not meet certain requirements. Any object that extends more than 4 inches into the circulation path between 27 and 80 inches above the finished floor is considered a protruding object and must be protected by a fixed cane detectable barrier installed below the object.

There are many ways to provide adequate protection at protruding objects and our accessibility consultants are always keeping an eye out for accessible design solutions that look like they were an intentional part of the design, rather than an afterthought. Here are just a few of the more successful and aesthetically pleasing examples of cane detectable barriers that we have come across…

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Access+Ability: An Evening at the Cooper Hewitt Museum

Students used props to simulate sensory and mobility disabilities.

As part of Cooper Hewitt Lab | Access Design Teen Program and the museum’s ongoing ‘Access+Ability’ exhibition (on view through September 3, 2018), the Design for Aging Committee of the American Institute of Architects (AIA), New York Chapter, was invited to facilitate a workshop with high school students to explore challenges experienced by seniors and people with disabilities. As an Accessibility Consultant here at Steven Winter Associates, Inc. and a member of the committee, I had the opportunity to attend the event.

Students at the hands-on workshop were challenged to develop design solutions to address the needs of a hypothetical group of older adults attending a lecture on the 3rd floor of the Cooper Hewitt Museum. Included among the hypothetical attendees were people with visual, hearing, and motor disabilities and those with limited knowledge of the English language.

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Tech Notes: Accessible Electric Vehicle Charging Stations

Electric vehicle charging stations must provide a basic level of accessibility, including controls within reach and user access.

Over the past several years, as the desire for more sustainable and environmentally friendly transportation has increased significantly, we have been seeing a corresponding increase in the number of electric vehicle charging stations provided in parking lots and garages. Applicable federal, state, and local accessibility laws and building codes may not specifically address how to make these charging stations accessible, but that does not mean they are exempt from compliance. Under most regulations, where electric charging stations are provided, at least one must be accessible.

But what does an accessible charging station look like?

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