JP7355552B2 - ward - Google Patents

Description

The present invention relates to a hospital ward.

It is predicted that Japan's population will continue to age and the number of working people will decline sharply. In hospital wards, the number of patients who are aging, with severe symptoms, and with a high degree of need for medical care and nursing is increasing. On the other hand, increasing the number of nurses is also becoming difficult.
Here, as shown in Patent Document 1, for example, a conventional ward has a layout plan in which a corridor is provided parallel to the length direction of the outer wall, and patient rooms are arranged so as to be in contact between the corridor and the outer wall. Common.

Japanese Patent Application Publication No. 2006-283532

However, conventional wards had the following problems.
In other words, in recent years, there has been an increase in the number of wards with a large number of patient rooms, especially all-private wards, and in such wards, the corridors facing the patient rooms become longer in accordance with the number of patient rooms. As a result, nursing flow lines become longer, which increases travel time to observe patients in each ward, making it impossible to provide prompt nursing care and increasing the burden on nurses. The problem was that it could not be secured.
Additionally, if the length of the hallway facing the patient room becomes longer, nurse managers will not be able to closely observe the work status of nurses, and there is a risk that nursing-related management will deteriorate, and there is room for improvement in this regard. Ta.

The present invention has been made in view of the above-mentioned problems, and aims to provide a ward in which the nursing flow line can be shortened, the burden of nursing can be reduced, and the time for direct nursing can be secured for a long time. .
Another object of the present invention is to provide a ward where a nurse manager can easily see the status of nurses and improve nursing management.

In order to achieve the above object, the ward according to the present invention has two ward areas in which a plurality of patient rooms are arranged along the outer periphery of the ward, and nursing staff arranged in a rectangular shape in the center of the ward surrounded by the ward areas. The ward has a dedicated nursing staff area, and each of the two ward areas is provided with a cross-shaped hospital room corridor arranged in a cross shape facing the hospital room, and a cross-shaped hospital room corridor is provided in the center of the cross-shaped hospital room corridor. A first corridor section and a second corridor section in two directions protruding from the intersection are respectively arranged facing the outer periphery of the nursing staff exclusive area in two directions, and the nursing staff exclusive area has a nursing staff exclusive area in the center. a staff station comprising a cross-shaped staff passage arranged in a cross-shape and a station extension extending inside the central intersection of the cross-shaped hospital room corridor, and serving as a base for nursing staff in the area exclusively for nursing staff; It is characterized by having the following.

In the present invention, two ward areas adjacent to the nursing staff exclusive area have a cross-shaped hospital room corridor, and each patient room is arranged facing the cross-shaped hospital room corridor. Therefore, it is possible to shorten the travel time from the central intersection located at the center of the cross-type hospital room corridor to the hospital rooms in each corridor, and it is possible to secure a longer time for direct nursing care. In this way, the nursing flow line can be shortened and the nursing burden can be reduced. In addition, a cross-shaped staff passageway arranged in a cross-shape exclusively for nursing staff is provided in the center of the area exclusively for nursing staff, making it easier to access the central intersection of the cross-shaped hospital room corridor and streamlining nursing flow lines. It can be further shortened.

In addition, the station overhang of the staff station provided in the area exclusively for nursing staff is placed at the central intersection of the cross-shaped hospital room corridor, so that each corridor can be seen from the central intersection of the cross-shaped hospital room corridor. be able to. As a result, nurses at the station overhang can see through the four cross-shaped corridors and observe patients around the hospital room, and it also makes it easier for nurse managers to see the status of nurses. Management can be improved, for example, it is possible to monitor how nurses are performing appropriate treatment and provide guidance, and it is also possible to prevent problems in nursing care.
Furthermore, in the present invention, a cross-type hospital room corridor in the two ward areas used by patients using the hospital room and a cross-type staff passageway used only by nursing staff are provided separately, so when transporting beds, etc. etc., can be transported efficiently.

Furthermore, in the ward according to the present invention, the first corridor part and the second corridor part in two directions protruding from the central intersection of the cross-shaped hospital room corridor are respectively arranged to face the outer periphery of the nursing staff exclusive area in two directions. Because the window side of each patient room does not face other patient rooms, it is possible to ensure a view from all patient rooms.

Further, the ward according to the present invention has a first fire prevention partition section at a central intersection of the cross-shaped hospital room corridor, which partitions an inside and an outside including the station overhang of the staff station, and The entrance of the molded staff passageway may be characterized by having a second fireproof division portion that is separated from the cross-shaped patient room corridor.

In this case, a second fire prevention division that separates the nursing staff exclusive area and the ward area, and two first fire prevention divisions in each ward area are provided, forming four fire prevention divisions. . Therefore, the fire prevention compartments are arranged adjacent to each other or in close proximity to each other, so that patient evacuation and guidance can be performed efficiently.
In addition, by installing an emergency staircase at the tip of the cross-shaped hospital room corridor that extends outside, it is possible to evacuate from all patient rooms in two directions: towards the emergency staircase and towards the nursing staff area.

Further, in the ward according to the present invention, in the portion of the staff station that is not the station extension part, the critical care room that requires the most nursing observation is arranged at a position facing across the cross-shaped hospital room corridor. It may also be a feature.

In this case, seriously ill patients in the critical care unit can be observed at all times from the staff station, allowing prompt response.

Further, the ward according to the present invention may be characterized in that a waste treatment room is arranged near the central intersection of the cross-shaped hospital room corridor.

In this case, since the waste disposal room is located in the center of the ward, it is possible to reduce the amount of movement between the patient room and the waste disposal room, which nurses often move, and shorten the nursing flow line. I can do it.

Further, the ward according to the present invention may be characterized in that an alcove is disposed in front of the patient room in a wing portion of the ward area that projects outward from the central intersection.

In this case, a nurse cart and computer can be placed in an alcove placed in front of the hospital room to serve as a nursing base. In addition, during daytime hours when there are many nurses, nurses who are directly in charge of patients can work from the alcove and have access to the bedside in the hospital room.

Furthermore, the ward according to the present invention may be characterized in that the patient room is a private room.

In this case, since the hospital room facing the cross-type hospital room corridor is a private room, it is possible to reduce the risk of infection from other patients and ensure privacy with respect to noise, smell, etc.

According to the ward of the present invention, the nursing flow line can be shortened, the burden of nursing can be reduced, and the time for direct nursing can be secured for a long time.
Further, according to the ward of the present invention, the nurse manager can easily see the status of the nurses, and nursing management can be improved.

FIG. 2 is a plan view of a hospital ward according to an embodiment of the present invention. FIG. 2 is an enlarged plan view of a central intersection in a cross-shaped hospital room corridor of the ward shown in FIG. 1. FIG. FIG. 2 is a plan view showing a fire prevention section of the ward shown in FIG. 1. FIG.

Hereinafter, a ward according to an embodiment of the present invention will be described based on the drawings.

The ward 1 according to the present embodiment shown in FIG. 1 is constructed of reinforced concrete construction (RC construction), and includes a central structural part 11 that is located at the center of the building and has a rectangular shape (here, a square) in plan view. A pair of wing parts 12 protrude outward from each of two diagonal corners of the central structure part 11. The pair of wing parts 12 each extend on an extension line of each side of the central structure part 11.

All of the patient rooms 21 arranged in the ward 1 are arranged on the outer peripheral side of the central structure part 11 and the wing parts 12, and the window side of each patient room 21 is located on the outer peripheral wall of the building. The arrangement plan is such that the window side of each hospital room 21 does not face other hospital rooms.

The central structure portion 11 and the wing portions 12 have a rigid structure made of a rigid frame structure in which a plurality of columns, beams, etc. are rigidly connected, and are made of a concrete slab cast integrally with the columns, beams, etc. Here, the black squares shown in FIGS. 1 to 3 indicate pillars.

The ward 1 includes two ward areas 2A and 2B in which a plurality of patient rooms 21 are arranged, and a nursing staff exclusive area 3 surrounded by the ward areas 2A and 2B and arranged in a rectangular shape at the center of the ward. have In FIG. 1, a two-dot chain line F diagonally drawn in the center of the ward 1 is a ward division line, and the ward 1 is divided into two ward areas 2A and 2B with this ward division line F in between. The ward division line F is located on the diagonal of the central structure 11.

Cross-shaped hospital room corridors 20 (20A, 20B) arranged in a cross shape facing the hospital room 21 are provided in the two ward areas 2A, 2B, respectively. The two ward areas 2A and 2B are arranged so that the first central intersection 22 of the cross-shaped ward corridors 20A and 20B is located facing a pair of diagonal corners of the nursing staff exclusive area 3. ing.

The ward areas 2A and 2B include a plurality of private patient rooms 21, a common space 23 facing the cross-shaped patient room corridor 20, and a waste disposal room located near the first central intersection 22 of the cross-shaped patient room corridor 20. 24 are provided. A critical care room (reference numeral 21A), which requires the most nursing observation, is arranged in a part of the hospital room 21 (a part of the position facing the staff station 31, which will be described later).

Further, in each of the ward areas 2A and 2B, a first elevator 28, which is mainly used by patients who use the ward 21, patients' related persons, etc., is arranged facing the cross-shaped ward corridor 20. In this embodiment, an example is shown in which the first elevator 28 is placed on the nursing staff exclusive area 3 side based on the layout plan. The first elevator 28 serves as an up-and-down flow line for patients and the like.
Further, a common space 29 such as a rehabilitation room or a cafeteria is provided at the boundary between the ward areas 2A and 2B.

A first corridor section 25 and a second corridor section 26 in two directions, which are arranged within the central structure section 11 from the first central intersection 22 of the cross-shaped hospital room corridor 20, are the outer peripheral edges of the nursing staff exclusive area 3 in two directions, respectively. It is placed facing 3a. That is, the nursing staff exclusive area 3 is surrounded from all sides by the first hallway 25 and second hallway 26 of the pair of ward areas 2A and 2B. A plurality of hospital rooms 21 located in the wing section 12 in the ward area 2 are arranged on both sides of a cross-shaped hospital room corridor 20.

In the ward areas 2A and 2B, nurses can look out over the cross-shaped hospital room corridors 20 from the first central intersection 22 to the tips of the corridors extending in each direction. Arrows E1 and E2 shown in FIG. 1 indicate the field of view of the nurse from the first central intersection 22.

The nursing staff exclusive area 3 has a cross-shaped staff passage 30 arranged in a cross shape for exclusive use of nursing staff in the center, and a staff station 31 that serves as a base for nursing staff in the nursing staff exclusive area 3.

The cross-shaped staff passage 30 has four entrances 30a communicating with the cross-shaped hospital room corridor 20. The cross-shaped staff passage 30 is for exclusive use by staff, and is provided with a door that allows only staff to enter and exit so that patients cannot freely pass through.
In the nursing staff exclusive area 3, nurses can look around the cross-shaped staff passage 30 from the second central intersection 32 to the tips of the passage parts extending in each direction. The arrow E3 shown in FIG. 1 indicates the field of view of the nurse from the second central intersection 32.
By providing the cross-shaped staff passage 30 in this manner, for example, the distance that a nurse at the staff station 31 in one ward area 2 has to travel to the other ward area 2 is shortened, thereby shortening the nursing flow line. I can do it.

As shown in FIG. 2, the staff station 31 is arranged at a corner facing the first central intersection 22 of the cross-shaped hospital room corridor 20 in the nursing staff exclusive area 3, and It is provided with a station overhang portion 31A that overhangs inward.
In the part of the staff station 31 that is not the station overhang part 31A (station main part denoted by reference numeral 31B), the above-mentioned critical care room 21A is arranged at a position facing the staff station 31 across the cross-shaped hospital room corridor 20.

In the area 3 exclusively for nursing staff, in addition to the second elevator 33 exclusively for staff, there is a rest room for nurses, an equipment storage room, etc., in a position facing the cross-shaped staff passageway 30 or a position facing the cross-shaped hospital room corridor 20. etc. are placed at appropriate positions. This second elevator 33 exclusively for staff is separate from patients and serves as an up-and-down flow line for staff.

As shown in FIG. 3, the second central intersection 22 of the cross-type hospital room corridor 20 has a first fire prevention section 41 that partitions the inside and outside including the station overhang 31A of the staff station 31. There is. Furthermore, the four entrances of the cross-shaped staff passageway 30 are provided with second fire protection compartments 42 that are separated from the cross-shaped hospital room corridor 20. A second fire prevention section 41 that partitions the nursing staff exclusive area 3 and the two ward areas 2A and 2B, and two first fire protection sections 41 are provided in each of the ward areas 2A and 2B. That is, in the present embodiment, in the cross-type hospital room corridor 20, the first fire protection compartment 4A and the second fire protection compartment 4B are partitioned outside the first fire protection partition 41, and the second fire protection partition 4B is partitioned inside the first fire protection partition 41. Four fire prevention divisions are formed: a third fire prevention division 4C arranged along the nursing staff exclusive area 3, and a fourth fire prevention division 4D defining the cross-shaped staff passage 30.

As shown in FIG. 2, an alcove 13 is arranged in front of the patient room 21 in the wing part 12 that projects outward from the first central intersection 22 in the ward areas 2A and 2B.

Next, the operation of the above-mentioned ward 1 will be explained in detail based on the drawings.
In the ward 1 according to the present embodiment, as shown in FIG. Each hospital room 21 is arranged facing a hallway 20. Therefore, it is possible to shorten the travel time from the first central intersection 22 located at the center of the cross-type hospital room corridor 20 to the hospital rooms 21 in each corridor, and it is possible to secure a longer time for direct nursing care.
In this way, the nursing flow line can be shortened and the nursing burden can be reduced. Moreover, since a cross-shaped staff passage 30 arranged in a cross shape exclusively for nursing staff is provided in the center of the area 3 exclusively for nursing staff, it is easy to access the first central intersection 22 of the cross-shaped hospital room corridor 20. This allows the nursing flow line to be further shortened.

In addition, in this embodiment, as shown in FIGS. 1 and 2, the station overhang 31A of the staff station 31 provided in the nursing staff exclusive area 3 extends over the first central intersection 22 of the cross-shaped hospital room corridor 20. Since the hospital rooms are arranged in such a manner that each corridor can be seen from the first central intersection 22 of the cross-shaped hospital room corridor 20. Therefore, the nurses at the station overhang 31A can see through the four cross-shaped corridors and observe the patients around the hospital room 21, and it is also easier for the nurse manager to see the status of the nurses. Nursing management can be improved from this point of view, for example, it is possible to monitor how nurses are performing appropriate treatment and provide guidance, and it is also possible to prevent problems in nursing care.

For example, during night shifts when there are few nurses, you can see at a glance from the station overhang 31A the status of patients going in and out of the toilets in front of the patient's room. You can feel the patient's presence.
Furthermore, since the cross-shaped stuff passage 30 also has a cross shape, each staff passage extending in four directions can be seen from the second central intersection 32.

Furthermore, in this embodiment, a cross-shaped hospital room corridor 20 for the two ward areas 2A and 2B used by patients using the hospital room 21 and a cross-type staff passage 30 used only by nursing staff are provided separately. Therefore, when transporting a bed, etc., it is possible to transport the bed efficiently.

Furthermore, in this embodiment, the first corridor part 25 and the second corridor part 26 in two directions protruding from the first central intersection 22 of the cross-shaped hospital room corridor 20 are the outer peripheral edges in two directions of the nursing staff exclusive area 3, respectively. 3a, the windows of each patient room 21 do not face other patient rooms, and a view can be ensured in all patient rooms 21.

Further, in this embodiment, a second fire prevention division section 42 that partitions the nursing staff exclusive area 3 and the ward areas 2A, 2B, and two first fire prevention division sections 41 are provided in each of the ward areas 2A, 2B. The area is divided into four fire protection zones. Therefore, the fire prevention sections 4A to 4D are arranged adjacent to each other or in close proximity to each other, so that patient evacuation and guidance can be performed efficiently.
In addition, as shown in FIG. 1, by installing an emergency staircase 27 at the tip of the cross-shaped hospital room corridor 20 that extends outside, the emergency staircase 27 can be accessed from all patient rooms 21 in two directions: on the emergency staircase 27 side and on the nursing staff exclusive area 3 side. You can evacuate to.

Furthermore, in this embodiment, the station main section 31B of the staff station 31 is located opposite to the critical care room 21A, which requires the most nursing observation, across the cross-type hospital room corridor 20. Critically ill patients in the critical care room 21A can be observed at all times, allowing prompt response.

Furthermore, in this embodiment, the filth treatment room 24 is placed in the center of the ward 1, so it is possible to reduce the movement between the ward 21 and the filth treatment room 24, which nurses often move. The flow line can be shortened.

Furthermore, in this embodiment, an alcove 13 is arranged in front of the patient room 21 in the wing part 12 that projects outward from the first central intersection 22 in the ward areas 2A, 2B. Alcove 13 can be used as a nursing base by placing a nurse cart and computer. Furthermore, during the daytime hours when there are many nurses, nurses who are directly in charge of patients can base their activities in the alcove 13 and have access to the bedside in the hospital room 21.

Furthermore, in this embodiment, since the hospital room 21 facing the cross-type hospital room corridor 20 is a private room, it is possible to reduce the risk of infection from other patients and ensure privacy with respect to noise, smell, etc.

As described above, in the ward 1 according to the present embodiment, the nursing flow line can be shortened, the burden of nursing can be reduced, and the time for direct nursing can be secured for a long time.
Further, according to the ward 1 according to the present embodiment, the nurse manager can easily see the status of the nurses, and nursing management can be improved.

Although the embodiments of the ward according to the present invention have been described above, the present invention is not limited to the above embodiments, and can be modified as appropriate without departing from the spirit thereof.

For example, the layout, quantity, etc. of each patient room 21 in the ward areas 2A, 2B and the nursing staff dedicated area 3 in the ward 1 of this embodiment are merely examples, and can be set as appropriate.
For example, in this embodiment, the plan is such that the critical care room 21A is located near the staff station 31, but the plan is not limited thereto.
Furthermore, the positions and quantities of the waste treatment chamber 24 and alcoves 13 are not limited to the above-mentioned positions.

In the present embodiment, the first central intersection 22 of the cross-shaped patient room corridor 20 has a first fire prevention section 41 that partitions the inside and the outside including the station overhang 31A of the staff station 31, and the cross-shaped staff passage Although the entrance 30a of 30 is configured to have a second fire prevention compartment section 42 that separates it from the cross-shaped hospital room corridor 20, the provision of the fire prevention division section is not limited to these positions. It doesn't matter if there is.

Further, the hospital room 21 is not limited to a private room, and may be a large hospital room that can be used by multiple patients.

In addition, it is possible to appropriately replace the components in the above-described embodiments with well-known components without departing from the spirit of the present invention.

1 Ward 2, 2A, 2B Ward area 3 Nursing staff area 3a Outer periphery 11 Central structure part 12 Wing part 13 Alcove 21 Hospital room 21A Critical care room 22 First central intersection (central intersection)
23 Common space 24 Sewage treatment room 25 First corridor 26 Second corridor 31 Staff station 31A Station overhang 32 Second central intersection 41 First fire compartment 42 Second fire compartment

Claims (6)

A ward having two ward areas in which a plurality of patient rooms are arranged along the outer periphery of the ward, and a nursing staff exclusive area arranged in a rectangular shape in the center of the ward surrounded by the ward areas, ,
Each of the two ward areas is provided with a cross-shaped ward corridor arranged in a cross shape facing the ward,
A first hallway portion and a second hallway portion in two directions protruding from the central intersection of the cross-shaped hospital room hallway are respectively arranged to face the outer periphery of the nursing staff exclusive area in two directions;
The area exclusively for nursing staff includes a cross-shaped staff passage arranged in the shape of a cross in the center for exclusive use by nursing staff, and a station overhang extending inside the central intersection of the cross-shaped hospital room corridor. A ward characterized by having a staff station that serves as a base for nursing staff in a dedicated area. The central intersection of the cross-type hospital room corridor has a first fire prevention compartment that partitions an inside and an outside including the station overhang of the staff station,
2. The ward according to claim 1, wherein the entrance of the cross-shaped staff passage has a second fire-prevention compartment that separates it from the cross-shaped patient room corridor. According to claim 1 or 2, in the portion of the staff station that is not the station overhang, a critical care room that requires the most nursing observation is located at a position facing across the cross-shaped hospital room corridor. Ward listed. The ward according to any one of claims 1 to 3, wherein a filth treatment room is arranged near a central intersection of the cross-shaped ward corridor. The ward according to any one of claims 1 to 4, wherein an alcove is arranged in front of the patient room in a wing part of the ward area that projects outward from the central intersection. The ward according to any one of claims 1 to 5, wherein the ward is a private room.

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