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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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Here’s to Our Buildings, Our Health! SWA’s Top 10 Tips for a Healthier Indoor Environment – Part 2

Quick pulse survey: in the last three months, since we published our Part I blog on tips for healthier indoor environments, how many of you have either incorporated some of our healthy recommendations into your home, or informed your clients on the most effective ways to address health risks in buildings (hint: if you need a refresher, please visit Part I)?

As previously discussed, there is overwhelming evidence for the business case for healthier buildings, from greater employee productivity and reduced sick days in the workplace to reduced asthma incidents and ER visits for children living in green housing. Leading organizations know that improved wellbeing helps employees to be healthier and lowers healthcare costs. It also helps employees to be more productive, creative and innovative, and less likely to leave for a competitor. The same concept can be applied to tenants in rental buildings and condos.

Before we dive into health tips #6-10, here are some fun (and not so fun) facts to keep in mind while we spend winter days INSIDE our workplaces, schools and homes:

  • USGBC graphic with health statsIn the winter, school-aged children ages 11-17 will spend 60 minutes a day outdoors, compared to 175 minutes in the summer. (Source: Schools for Health by the Harvard TH Chan School of Public Health.)
  • In a study of 73 elementary schools in Florida, students in schools cooling with the noisiest types of HVAC systems were found to underperform on achievement tests compared with students taking tests in schools with quieter systems.
  • According to a recent survey released by the U.S. Green Building Council (USGBC), employees who work in LEED certified green buildings are happier, healthier and more productive than employees in conventional and non-LEED buildings:
    • More than 90 percent of respondents in LEED certified green buildings say they are satisfied on the job and 79 percent say they would choose a job in a LEED certified building over a non-LEED building.
    • More than 80 percent of respondents say that being productive on the job and having access to clean, high-quality indoor air contributes to their overall workplace happiness.
    • 85 percent of employees in LEED certified buildings also say their access to quality outdoor views and natural sunlight boosts their overall productivity and happiness, and 80 percent say the enhanced air quality improves their physical health and comfort.

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Here’s to Our Buildings, Our Health! SWA’s Top 10 Tips for a Healthier Indoor Environment – Part 1

How many of you out there would say you are happy at your place of work? Are you having a hard time concentrating? Now, take a pulse on your surroundings. Are the lights too bright? Are you too cold? Too hot? Do you hear constant humming from the HVAC equipment in the background? How much sleep are you getting at night? How many plants are in your view? Do you even have a view?

I’m sure many of you have heard the statistics that we spend nearly 90% of our days indoors. BUT, did you know that:

  • 75% of deaths are caused by chronic disease, up from 13% in 1800;
  • Today’s children are the first generation expected to have a shorter life expectancy than their parents;
  • 85% of the 82,000 chemicals in use are lacking in available health data.

When we hear the term “high performance building,” many of us think about energy efficiency first. But, what factors contribute to human health in buildings? How do we design for and maintain efficient building performance without compromising occupant health and well-being? What benefits are associated with healthy homes and work spaces? These are the questions we should be asking ourselves.

Stok report breaking down the cost savings associated with healthy work spaces

Lots of research has been done. Pulling from the LEED, EGC, and WELL concepts, and supported by case studies (specifically Harvard’s School of Public Health’s 9 Foundations and Stok’s report on how workspaces that promote health and wellness), here are SWA’s Top 5 (of 10) tips to effectively address Indoor Air Quality (IAQ) in buildings:

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Does Your Exhaust Fan Suck? Part 1

You most likely don’t even think about it when using the bathroom. Flip the switch, hear the exhaust fan, and everything is working as it is intended…right? Far too often, the answer is NO, and it is no fault of the user. Sure, homeowners should take a minute each year to vacuum the inside of the exhaust fan housing, but otherwise, these fans should just work. So why don’t they? Hint…it all depends on how it was sized and installed.

Background

The purpose of exhaust ventilation is to remove contaminants (including moisture) that can compromise health, comfort, and durability. Exhaust fans are amongst the simplest mechanical systems in your home, but decades of experience working in homes has shown us that even the easiest things can get screwed up. Far too often, exhaust fans rated for 50 or 80 cubic feet per minute (cfm) of air removal are actually operating at less than 20 cfm. In theory, the exhaust fan should be installed in a suitable location and then ducted to the outside via the most direct path possible. However, the installation of an exhaust fan can involve up to three trades: an electrician typically installs and wires the unit; an HVAC contractor supplies the ductwork; and, the builder/sider/roofer may install the end cap termination. What could go wrong?

As energy efficiency standards and construction techniques have improved over time, new and retrofitted buildings have become more and more air-tight. If not properly addressed, this air-tightness can lead to moisture issues. Quickly removing moisture generated from showers is a key component of any moisture management strategy. While manufacturers have made significant advancements in the performance, durability, and controls of exhaust fans, these improvements can all be side-stepped by a poor installation.

So how do you correct this issue? Read more

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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