Riley Hospital’s New ICU and Family Lounge
This year is the 21st Miracle Ride. Riley Hospital directs donations from each year’s Miracle Ride to fund a specific need. Last year’s donated funds were used to build and equip a Family Lounge in a new ICU unit at the hospital. The Family Lounge provides a place for families to relax, eat, meet friends, and decompress while their child is in intensive care. The lounge is well equipped with comfortable furniture, kitchen equipment, a refrigerator, computers and other equipment designed to make the parents’ time spent there as comfortable as possible. The lounge is also very attractively decorated and does not have an institutional feel. The entire Simon Family Tower is very attractively decorated and contains bright, happy pictures from various ecosystems. The elevators even have pictures on the ceilings to help entertain and distract children lying on gurneys.
While touring the new intensive care unit (ICU) in the Simon Family Tower, I was blown away by the information the physicians shared about the unit. The impressive facts included:
- The entire building was designed using lean engineering techniques to allow it to be multifunctional and to ensure consistency between different parts of the building. Every patient room is exactly the same. The staff shared that Riley Hospital has put extensive thought into every detail of the design of every floor and unit of the hospital. The end result is that every storage facility in the hospital has the exact same layout and stores items in the same location. This makes it very easy to staff members to quickly find what they need if they need to work on a different floor or unit. It also enables staff members to quickly find needed supplies when speed is essential.
- Each ICU patient room contains a computer system on wheels that allows the nurses to log and reference data from their patient’s bedside. The nurses’ external workstations are also brilliantly designed. Each work station is located directly outside of two adjoining rooms. The workstation has windows that allow the nurse(s) to see the child in the bed and view the child’s medical monitors to track vital signs, IV status and other important information. The doctors who provided the tour shared that intense consideration was devoted to the design and angle of the windows to ensure the maximum level of patient care while also allowing parents to be alone with their child if desired.
- Best of all … each ICU patient room contains a pullout bed, private restroom and a Nintendo Wii. This attention to detail and comfort is highly unusual and will make the hospital experience much more comfortable for parents and children. The in-room restrooms will allow parents to stay closer to their child while attending to personal needs, and the pullout beds will help parents rest more comfortably during overnight stays. (When our son was in intensive care in another hospital, the ICU rooms were extremely cramped and did not have any chairs or furniture that could be used for sleeping. We wound up sleeping in a waiting room that wasn’t very close to our son’s room. The pullout beds in the Riley Hospital ICU rooms are wonderful.)
- The staff spent months planning the exact location of every piece of equipment and every supply item so that every action will run smoothly for patients, parents and staff. The doctors who led the tour acknowledged this focus on consistency and ease is intentionally designed to make hospital stays less stressful for parents and children alike. As an example, the doctors shared that weeks were spent figuring out where the best location would to place the hand sanitizer required to enter isolation rooms. They also shared that they created cardboard models of every piece of equipment and furniture contained in every ICU room and then tried a wide variety of layouts so they could choose the best placement for every piece of equipment, furniture and medical supply item. The end result created rooms that are functional yet comfortable and logical in their layout.
- The unit contains a staff training room where state of the art training mannequins will be used to train new staff members, assist with team building, etc. The training mannequins are programmed in such a way that they show the direct outcome of treatment decisions made by staff members. This means new staff members can be presented a specific medical situation and asked to create a treatment plan. Their treatment choices will be entered into the mannequin, allowing them to immediately see the results of their treatment plan. This will help medical staff quickly learn the best approach for a wide variety of medical situations. The training facility will also be used to provide advanced training to physicians, nurses, pharmacists, and other staff members.
- The ratio of patients to nurses is incredibly small compared to that of other hospitals. The maximum number of patients assigned to a single nurse is three, assuming the patients’ needs do not require more attention. The typical assignment ratio is two patients to one nurse. In cases where patients require constant monitoring and attention, it will not be uncommon for four or more nurses to be assigned to a single patient 24 hours a day for as long as that level of care is needed. I was impressed at the hospital’s willingness to ensure each patient receives the level of care his or her medical needs require.
- Although the hospital’s top priority is medical care, the staff devotes an amazing amount of attention to the experience each child and family has while in the hospital. The Riley Hospital Child Life program is dedicated to ensuring the child’s emotional needs are met and that each child has a chance to engage in age-appropriate fun activities during his or her hospital stay. The Child Life team consists of a huge number of staff members who ensure every child has a chance to play, avoid boredom and engage in therapeutic ways of expressing themselves as needed. The Child Life team also provides an opportunity for children and parents to tour the hospital and learn about a child’s
upcoming procedure prior to coming to the hospital for the procedure. This “medical play” allows the child to see exactly what will occur during their stay and is designed to reduce the child’s fear. The Child Life team also works to help parents express and deal with their fears and concerns. Depending on the procedure, a Child Life team member may be present during a procedure to coach the child through the procedure using techniques to reduce pain and fear. The Miracle Ride has a long history of supporting Patient Life Programs to ensure each child and family has access to fun activities and emotional support during their hospital stay.
Riley Hospital went out of their way to make the evening we spent there comfortable and enjoyable. After the dedication ceremony, the staff treated us to a delicious dinner and hosted our monthly Miracle Ride Committee Meeting. The Miracle Ride is still in need of volunteers and donations for the event on May 31st – June 1st. Please visit the Miracle Ride website to learn more.
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