How are Psych Units Different?

How do Psychiatric Units need to be
different from General Hospital Units?

GENERAL HOSPITAL
Focus is on treating medical conditions

FUNCTION OF SPACE:
Treatment takes place in patient rooms
Family visitation takes place in patient rooms
Patient is in room majority of the time

FLOOR PLAN HAZARDS:
Travel distance for staff from service core to patient room is primary traffic flow
Access to unit is unrestricted
Group Rooms and Activity Rooms not required
Interview Rooms and Visitation Rooms not required
Observation of corridors from staff station not required
Seclusion Rooms not required
Direction of door swings for patient rooms are not important

PRODUCT AND MATERIAL HAZARDS:
Medical gasses
Monitors and cables
Sharps containers
IV poles
Cubicle curtain tracks
Open grab bars
Open flush valves
Open bed pan washers
Accessible ceilings
Windows
Heating and air conditioning systems and grilles
Light fixtures
Electrically operated beds
Wardrobes and clothes hangers
Wall mounted television sets

PSYCHIATRIC UNIT
Focus on keeping patient safe from self-harm and protecting other patients and staff

FUNCTION OF SPACE:
Treatment takes place in Interview Rooms, Group Rooms and Activity Rooms
Family Visitation takes place in common areas and Interview Rooms
Patient is encouraged NOT to be in patient room except at night and rest periods

FLOOR PLAN SOLUTIONS:
Observation of corridors and Day Rooms from staff station is a primary concern
Access to and from the unit is restricted
Travel distance for staff from service core to patient rooms not critical
Group Rooms, Activity Rooms, Interview Rooms and Seclusion Rooms are required
Direction of door swings to resist barricading is important

LESS HAZARDOUS PRODUCTS AND MATERIALS:
Typical patient rooms and toilets do not have the following:
Medical gas outlets, monitors with related cables, sharps containers, IV poles, curtain cubicle tracks, accessible ceilings, television sets, telephones, nurse call systems, bed pan washers
Typical patient rooms and patient toilets do have the following: shatter resistant windows and mirrors, platform beds that are secured in palace, wardrobes with only open fixed shelves, ligature resistant door hardware and toilet accessories, vandal resistant heating and cooling systems and light fixtures, ligature resistant plumbing fixtures, concealed plumbing pipes

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