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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Foundation Waterproofing – Proper Installation and What NOT to do!

As mentioned in Foundation Waterproofing 101, water damage to a foundation can be very costly and difficult to repair. By paying close attention to how and where water might enter the foundation during the early stages of construction, typical failures can be avoided by following these simple guidelines…

For the Designer: Keys to proper installation

Design and Quality Assurance

  • Don’t wait to design the foundation waterproofing system after you’re already in the ground!
  • Specify and detail the appropriate system for each project. Meet with manufacturer reps early!
  • Require shop drawings and kickoff meetings to ensure the entire team understands the importance of the design! Review examples of common failures.
  • Get your consultants on board early: Geotechnical engineer, Structural engineer, Waterproofing/enclosure consultant.
  • Review warranties, require third party inspections, installer certification, and contractor training.

For the Installer: Keys to proper installation

Substrate preparation

  • Provide smooth continuous surfaces to install waterproofing – minimize jogs, protrusions, and sharp edges.
  • At slabs: compacted fill/rigid insulation board/rat slabs
  • At walls: fill bugholes, remove/grind concrete fins, mortar snots, fill form tie holes, verify form release agents and compatibility.

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Foundation Waterproofing 101

Foundation Waterproofing Cutaway

Credit: Basement Waterproofing Baltimore (2018, February 20). http://aquaguardwaterproofing.com

Designing buildings with water protection in mind is critical to protecting buildings from future damage, difficult/costly repairs, and potential litigation. Foundations are by necessity in the ground. So is water. Foundation waterproofing is intended to keep them separate, by providing a layer of protection between a below-grade structure and the moisture present in the surrounding soil and fill. Waterproofing is especially important when the foundation lies below the water table or in a flood zone. Read on to learn about different approaches and materials used to waterproof foundation walls and slabs and specific detailing needed to provide a watertight enclosure. And, check out Part 2 of this series for specific guidance and examples to achieve a watertight enclosure.

Why is foundation waterproofing necessary?

Did you know? Water intrusion makes up more than 70% of construction litigation.Water

Foundations are basically holes in the ground that want to fill with water. Poor site drainage, through-wall penetrations, concrete cracking/mortar joints and movement, door/window/vent openings, flooding, high water tables, hydrostatic pressure – all contribute to the propensity for water to fill the subterranean void we have established. Foundation leaks are difficult and costly to rectify, not to mention designer/contractor financial liability. Water in a basement is water in a building. Excess moisture within a building is a recipe for higher RH and increases the potential for condensation, and mold and other allergens.

Luckily, foundation water intrusion is usually preventable. The goal is to identify all the potential water transport mechanisms, and address them, through good design practices, proper detailing, and quality execution. Read more

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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Multifamily Passive House Ventilation Design Part 2: HRV or ERV?

In climates with significant heating and/or cooling seasons, Passive House projects must have a balanced heat or energy recovery ventilation system. These systems use a heat exchanger to transfer heat and moisture between the outgoing return and incoming outdoor airstreams. The operation of recovery ventilators reduces the energy required to heat and cool decreasing the building’s carbon footprint. Project teams can select either:

  • Heat Recovery Ventilators (HRV) that transfer heat from the return air stream to the outside air stream; or,
  • Energy Recovery Ventilators (ERV) that transfer heat and moisture from the return air stream to the outside air stream.

Deciding between an HRV and an ERV gets more complex when the Passive House concept is scaled from a single-family home to a multifamily program. What the industry has learned from the development of airtight buildings and programs such as Passive House and R2000, is that indoor relative humidity must be controlled through continuous ventilation. The extremely air tight building envelope required of a Passive House, combined with high internal moisture gains from an occupant dense multifamily program (coming from occupants, kitchens and bathrooms), forces additional moisture management considerations during mechanical ventilation design. Maintaining acceptable interior relative humidity in both the heating and cooling season is paramount for building durability and occupant comfort. It’s appropriate that Passive House professionals claim this simple motto: “Build tight, ventilate right!”

In New York City where the multifamily Passive House market is rapidly growing, there is a significant heating season and a demanding cooling season with high humidity (Climate Zone 4A). With this seasonal variation, there are four primary operating scenarios for an HRV or ERV that need to be considered during design:

Summer Condition – HRV

An HRV operating in the summer (hot-humid exterior air and cool-dry interior air) introduces additional moisture to the building through ventilation. Heat is transferred from the incoming outside airstream to the return airstream leaving the building which cools supply air, but exterior moisture is not removed from the incoming air. The building’s dehumidification load increases as a consequence of additional moisture from the outdoor air.*CON*

HRV Summer operation Read more