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PT Admin > Lecture 8: Designing The PT Environment > Flashcards

Lecture 8: Designing The PT Environment Flashcards

1
Q

Physical plant or structure refers to the ___ layout as well as the ___ ___.

A

Internal

External environment

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2
Q

Grounds, parking lot, and access to PT clinic are examples of

A

Physical plant or structure

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3
Q

Why should the PT be involved in planning?

A

PT’s will be using the space and understand the function

Avoid errors from lack of understanding

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4
Q

Factors to Consider:

The physical plant relates to the ____ ____ and ___ ___.

A

Market served, mission statement

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5
Q

Factors to Consider:

Know the __, __, and __ codes

A

Federal, state, local

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6
Q

Factors to Consider:

Know the ___ needs and ___ functions. Know the ___ requirements.

A

Staff, department, equipment

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7
Q

Factors to Consider:

_____ of staff, patients, and visitors.

A

SAFETY

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8
Q

Initial Planning:

Consult the people in the “___ ___” — they know how service is delivered.

A

Operating core

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9
Q

Initial Planning:
You need an ____, but YOU know your ___.
Learn how to read plans, look for unnecessary additions and costly deletions.

A

Architect, plan

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10
Q

Facility Planning Process involves (4)

A

Activity description
Activity grouping
Activity flow
Room design

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11
Q 
The \_\_\_ \_\_\_ consists of:
Pre-design
Design Development
Construction
Pre operations
Occupancy
Start up
Planning team selected
Pre planning
Detailed planning
Final planning
Following project
Construction
Purchase equipment
Final check out
Occupancy
Revisions and critique
A

Planning process

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12
Q 
Regulatory compliance:
Consult \_\_\_\_
Adhere to \_\_\_, \_\_\_, and \_\_\_ codes
\_\_\_\_ codes to improve accessibility
\_\_\_ and \_\_\_
A

Professionals
Federal, state, local
Exceed
Fire, disaster

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13
Q

Activity Description:
Identify the ____ that will take place in the allotted space.
Derive the activity projection from the ___ ___ and/or ___.
Is the facility ____ or are you a ___?

A

Activity
Mission statement, experience
Specialized, generalist

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14
Q 
Activity Grouping:
Group activities together based on:
Their \_\_\_\_ relationship
\_\_\_ \_\_\_
\_\_\_\_ spaces
A

Functional
Work flow
Shared

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15
Q

Activity flow:
Movement of people from __ __ to __ __
Develop __ __ to determine patterns of movement.

A

Activity area, activity area

Flow diagrams

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16
Q 
Information Needed to Determine Activity Flow:
Client visits per \_\_\_\_
Number of \_\_\_ \_\_\_
Type of \_\_\_ provided (percent of \_\_\_ visits)
Average \_\_\_ of each type of service
\_\_\_ of operation
Special \_\_\_ needed
How much \_\_\_ is needed (footprint of it)
A 
Year
Days open
Services, total
Length
Hours
Equipment
Equipment
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17
Q

Room Design:

Considerations (3)

A

Type, size, quantity

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18
Q 
Room Design:
Functional designations (3)
A

Activity
Support
Administration

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19
Q

Room Design: Functional Designations-

What does activity include?

A

Direct care

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20
Q

Room Design: Functional Designations-

What does support include?

A

Parking, entrance, storage, bathrooms, locker rooms

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21
Q

Room Design: Functional Designations-

What does administration include?

A

Offices, conference rooms, reception, waiting

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22
Q

What should you consider when determining to renovate or build new? ____, __ ___ of existing space

A

Costs, potential limitations

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23
Q 
Renovate or Build New?:
Meeting \_\_\_
Outdated \_\_\_ and \_\_\_
Making do vs doing
\_\_\_ efficiency
A

Code
Electrical, plumbing
Energy

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24
Q

Need for PT- Accreditation (3)

A

JCAHO Requirement
CARF
Third Party Payer’s

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25
Q

Determining Extent of Need:

_____ ____: what area, availability and depth of other services, physicians in area

A

Geographical location

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26
Q

Determining Extent of Need:

What needs to be considered? (6)

A 
Geographical location
Demographics
Age of population
Socioeconomic mix
Industry in the area
Ethnic/cultural makeup of area
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27
Q

Project Need for Staff:
Where is service provided? (IPR, OP, Home)
Type of PT provided- ___ or ___
Patient ____ (severity of patient)

A

Specialized, general

Acuity

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28
Q

The environment includes (3)

A

Function
Location
Space needs

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29
Q

Is function the most important factor?

A

YES.

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30
Q

_____ = efficient use of space. Results in efficient use of ___, ___ and improves use of ___.

A

Function

People, equipment, time

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31
Q 
Location: consider-
\_\_\_\_ location
Easy \_\_\_\_
Room to \_\_\_
minimize \_\_\_\_
A

Central
Access
Expand
Transportation

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32
Q

Space needs: determine based on _____ needs
8x8 minimum, 12x16 maximum for ____
7x8 minimum, 8x10 maximum for ____

A

Clinical
Office space
Treatment area

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33
Q 
Space Design Considerations:
\_\_\_ of the patient
Accessibility
\_\_\_ of the people and property
\_\_\_ of the area
Image you are projecting
A

Visibility
Safety
Versatility

34
Q

What are the components of special design considerations? (6)

A 
Structure
Laundry
Ventilation
Plumbing
Electrical 
Lighting
35
Q

Structural system considerations:
Walls, ceilings, and floors strong enough to support ___ ___
Consider __ __ needs and put in necessary supports prior to completion of construction.

A

Clinical functions

Pre-construction

36
Q

Special Support:

3

A

Ceiling, flooring, wall

37
Q

What is included in ceiling support?

A

Exercise systems suspended from ceiling must be placed into ceiling support systems

38
Q

Special Support:

What is included in flooring support?

A 
Excess weight (hydro equipment)
Needed stability (parallel bars)
39
Q

Special Support:

What is included for wall support?

A

Pulley systems, pull down mat tables

40
Q

Other special structural needs:

Ceiling height depends on- (3)

A

Function of the room
Amount of activity and noise in the room
Multipurpose use of the room

41
Q

Reception area should be ___ and ___.

A

Safe, comfortable

42
Q

Examination requirements- take into consideration _____ requirements, floor to ceiling ____ for privacy, ____ without distractions, can be used for treatment.

A

HIPAA, partition, quiet

43
Q

Treatment Areas- general considerations:

Must be ____. Multiple uses for area. ___ have to be reasonable

A

Functional

Logistics

44
Q

Treatment cubicles:
large enough for therapists to get around table.
Can have curtains to gain ___ but sacrifice ____.
Solid walls to gain ___ but sacrifice ___.
Electrical outlets- higher, enough circuits.

A

Flexibility, privacy

Privacy, flexibility

45
Q

Hydrotherapy:
Consider-
Noise, special plumbing requirements (____ size, water ____), moisture effect on ___, ___, ___. Non-slip flooring.

A

Drain, temperature

Floors, walls, ceilings

46
Q 
Exercise Area:
Traffic flow around \_\_\_\_/
Type of \_\_\_ necessary/desired.
“Social area”
Open area vs. \_\_\_\_ area.
Plan ahead for equipment such as \_\_\_ and \_\_\_.
A

Equipment
Equipment
Private
Pulleys, parallel bars

47
Q

Laundry-
In house: washer and dryer, proper ___ and ___.
In facility: ___ area in department, delivery of linen.
Outsourced: ____ supply needed

A

Ventilation, plumbing
Storage
Larger

48
Q

Laundry- needs to be ___ in an area where door can be closed. Open end of pillow case should be away from ____.

A

Covered

Doors

49
Q 
Staff Space:
People need own area to work. Non-\_\_\_\_\_ producing area.
\_\_\_\_ needed.
Patient charts must be protected.
Space to \_\_\_, \_\_\_, conference.
A

Revenue
Privacy
Work, breathe

50
Q

Lavatory Facilities:
Facilities in your own space or share in the ___ ___.
Toilet, shower, changing area. Separate male/female and staff. Maintaining the area, meet ____, and consider _____.

A

Common area

Code, safety

51
Q 
Storage Area:
Accessible
Stored items \_\_ \_\_ \_\_
Well lit
\_\_\_ on going
Storage for \_\_ which must be \_\_
A

Off the floor
Inventory
Linens, covered

52
Q

Ventilation:
Considerations- Design: consider ____ through the building
Planned

A

Airflow

53
Q 
Ventilation Needs:
Control ventilation by area-
Create \_\_\_ to provide flexibility and \_\_\_.
Protection from \_\_\_.
Overheating or under heating areas.
A

Zones, economy

Draft

54
Q 
Ventilation Needs:
Use of \_\_\_\_/exercise
Heat/ice changes \_\_\_ \_\_\_.
Wearing less clothing.
Active exercise = increase in \_\_\_ \_\_\_.
A

Modalities
Body temperature
Core temperature

55
Q

Special Area Ventilation Considerations:
Fresh air necessary throughout- need ___ ___ flow of air.
Hydrotherapy- may need to be __ than other areas. May need to be vented to outside to remove __ and odors.
Modality area- may get warmer from heat producing equipment.

A

Continuous reliable
Warmer
Humidity

56
Q

HVAC:

Systems deal with- (3)

A

Quality
Temperature
Air flow

57
Q 
HVAC: Effects on cost-
Quality of \_\_\_.
Relationship of facility to \_\_\_ exposure.
Prevailing wind.
Number and direction of the \_\_\_.
A

insulation
Sun
Windows

58
Q

Plumbing:
Very ____ aspect of facility construction.
Pipes ___ but concealed, intake of __ __ (city or well).

A

Expensive

Accessible, fresh water

59
Q

Plumbing:
Drainage of used water and ___ ___.
Into __ __ and city sewers.

A

Waste material

Septic system

60
Q

Lavatory:
Rest room facilities in department. Equipped for ___.
Rest room facilities out of department. Easily accessible and handicapped accessible.

A

Disabled

61
Q

Efficiency = _____.
Concentrate water supply functions near one another:
hand washing sinks, ____ and showers near ___.

A

Economy

Lavatory, hydrotherapy

62
Q

Special Plumbing Considerations:
Larger pipes- ___ inch rather than __ inch diameter pipe.
Large capacity __ __: quick water heating recovery time
Ability to heat the water hotter than other areas of hospital.
Special needs for __ __ or __ tanks. (Floor drains)

A

3/4, 1/2
Water heaters
Therapeutic pools, walking

63
Q

Electrical:
Proper supply and distribution for current needs.
____ lines, ____ feed apart, ___ inches from floor.
Avoid floor outlets if possible. Vary the __ to avoid overloading and permit simultaneous use of equipment. Quad plugs, grounded plugs. Plan properly for future ___. Overestimate both current and future need, as well as ___ changes.

A

220, 6-12, 36
Circuits
Expansion
Technology

64
Q

Electrical Safety Considerations:

Don’t overload the circuit. Ground fault protection (GFP) to ___ and other ___ ___. Outlet covers on ___. No ___ plugs.

A

Hydro, wet areas
Plugs
Extension

65
Q

Lighting:
Lighting makes difference in how people __ and __.
___ light is preferred (windows, diffused)
Consider the lighting ___.
Lighting ___ preferred.

A

Work, feel
Natural
Expense
Zones

66
Q

Creating the Environment-

__ control and interior finishes. (Ceilings, walls, floors, doors, signage)

A

Noise

67
Q

Noise Control:
Excessive noise is ___ and ___.
Use __ __ materials.
Isolate noisy from __ areas.

A

Undesirable, dangerous
Noise absorbing
Quiet

68
Q

Interior finishes:

Ceilings- ___ of ceiling, recessed ceiling, ceiling ___, special considerations pre-___.

A

Height, tiles, construction

69
Q

Interior finishes:
Walls- Durable and attractive
Protect against ____ damage with corner guards.
___ is very important. Distinguishes function of area, stimulation, relaxation.

A

W/C

Color

70
Q 
Interior finishes:
Floors- area use for w/c, walkers, canes
Special need based on activity use:
\_\_\_ areas - hard tile, \_\_ resistant.
\_\_\_ areas - heavy duty pre-polished venal floor, carpeting to increase \_\_\_ \_\_\_ of floor.
A

Wet, slip

Dry, slip resistance

71
Q

Interior finishes:
Doors- at least ___ inches wide in institution to accommodate ___.
Thresholds __ with floor. Use of ___ instead of doors facilitates passage through openings
Weight of __

A

40, stretchers
Flush
Curtains
Doors

72
Q

Interior finishes:
Signage-
Directional signs clearly raked in English or other language, ___ and ___.
Language of signs- all __ generally spoken in that area, clearly marked for ___ ___. Clear for those with __ __. Visual cues and Braille or auditory cues.

A

Words, symbols
Languages, non-readers
Special needs

73
Q

Safe, Efficient Cost Effective:

Communication Systems- ___ systems (put in jacks even if not planning on using), need to be accessible to ___ areas.

A

Telephone, treatment

74
Q

Safe, Efficient Cost Effective:
Communication- also can use ___ system.
Reach help if needed, communicate between ___. Voice activated systems may be a ___ ___.
Computer connections.

A

Intercom
Workers
Safety issue

75
Q 
Safety considerations:
Meet codes for \_\_ and \_\_\_
Mark \_\_\_\_
Fire \_\_\_\_
First aid/crash cart
Means of \_\_\_
Security system
A

Fire, disaster
Exits
Extinguisher
Egress

76
Q

Creature comforts/amenities:

Coffee, music system, TV, ____ control

A

Temperature

77
Q

Equipping the PT department.

Considerations- (3)

A

Type of caseload
Number of patients
Space available

78
Q

Room Requirements:
Number of patients. Room type (cubicles)
10-20. 3
__-70. -7
90-110. 10-

A

50, 6

11

79
Q

Financing Equipment:
Institution- ___ justification
Private practice- ___ resources, loan, private ___, ___ financing

A

Budget

Private, Financing, Vendor

80
Q

Balancing Cost and Function:
Increased cost may buy increased ___ and ___.
Patient and employee ___ often related to higher __ __ __ delivered.

A

Productivity, efficiency

Satisfaction, standard of care

81
Q

Room to expand:
____ is important. What is building next to?
Department that can easily move.

A

Location

PT Admin (12 decks)

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