Friday, April 30, 2010
Thursday, April 22, 2010
Wednesday, April 21, 2010
Initial Research Review:
Riverbend Hospital (initial Photos of things on wheels)
Kayla Hollett Weber, Staff Nurse RN - Riverbend Hospital
Types of carts: “Precaution carts” (lockable for medications), Food carts, Crash carts (only one on the floor at the end which is problematic)
Notes:
- Charts are keep outside rooms in holders
- Lots of time is wasted locating charts, this may be an avenue for cart development
- Medications are “tubed” over behind the desk from pharmacy
- Main problem: moving things and not having them put back
- Carts and number of carts depend on the size of the hospital and the money they are able to put into equipment.
- ER – has unique speed concerns other floors in the hospital do not
- Problem: 5 star cart bases getting caught on each other
- Concerns about germ protection
- Only one crash cart per floor
Jim Olsen, EMT Mountain Rescue/ Ski Patrol -
Grand Teton National Park, Snow King Resort - Jackson Hole, WY
Mr. Olsen worked as a mountain rescue trained EMT for about fifteen years living in Jackson Hole, WY. He worked for the Grand Teton National Park and for Snowking resort in the ski patrol. I thought although he worked outside the traditional hospital this research might provide an interesting insight. He told me that he worked in a lot of high stress situations in which people were either quickly taken to the hospital, or treated in the field. I was particularly interested in the stretchers he has used in snow rescues, for climbers and skiers. There seemed to be interesting parallel between these sleds and the carts we are designing. Below is a list of equipment that is routinely used.
Ski Rescue Sled (Maneuverability. Ergonomics)
Rescue Sled: Inflatable Rescue Litter (Price $1,995)
-Provides level of buoyancy
-Stiffness, insulation
- Ideal for water-ice rescues
-19 lbs – backpackable
Basket Stretcher: ($675)
-polyethylene shell with aluminum frame
1. Technical Equipment List:
• Telemark or Alpine Touring skis
Only bring your telemark skis if you are at least an advanced/intermediate telemark
skier with backcountry experience.
• Telemark or alpine touring boots
• Collapsible ski poles
• Climbing skins (stick-on) that fit your telemark or alpine touring skis
• Avalanche transceiver (475 Megahertz)
• Lightweight snow shovel
• Avalanche probe
• Large backpack (at least 50 liters) with rain cover. Some have built-in rain covers (eg.
Deuter backpacks). Rain covers can also be bought separately.
Otherwise bring a big plastic (garbage) bag as an inside liner for your backpack.
• Climbing harness for glacier travel
• One locking carabiner
• Crevasse rescue equipment, if you are familiar with it.
(Prusik slings, webbing, pulleys, auto-locking device). Your guide will bring a full set.
• Ski crampons (optional, but might make your live much easier in some of the
steeper sections in spring)
• Repair kit for your skis (can be shared between 2 people)
What traits must the tools you use have?
- Weight
- Durability – have to be used again and again
- Ergonomics – handles
- Mauvarability- have to be able to move over snow on skis
- Well marked- intuitive labeling
Things that need improvement regarding the things you use:
1. Bumps effecting injured patients 2. Contamination concerns - especially on backcountry gear that gets packed back up, hard to sterilize in the field 3. In high stress situations colors and shapes that help you find things faster
Site Observation (unobtrusive): Riverbend Hospital, Eugene OR
Methods Implemented:
- Sitting in main waiting room – observing check in reception
- Sitting and observing the ER reception area
- Walking around each floors making notes of cart use (also went onto a floor with only custodian equipments which was interesting)
- Photo documentation (carts, spaces, hallways, and intriguing images)
Questions for obtrusive observation (10): I tried to avoid asking participants closed questions in which they automatically respond with yes and no answers. I also attempted to avoid questions that people felt needed to be answered in certain ways. For example if you ask someone if they believe in recycling they will say yes before thinking because society projects that it is a good practice.
1. When you hear the word “medical cart” what words come to your mind?
2. Do you need a keyboard to work a tablet?
3. How much storage space do medical carts need?
4. In your eyes what are the most difficult things about carts? And using them
5. How familiar are you with tablet technology, such as the ipad?
6. Who supplies your medical carts?
7. Can paper files are eliminated? How much information is shored in paper?
8. What daily need to not being met by the carts you are using?
9. Is there anything you wish was more mobile?
10. What carts are used most often?
Other Resources:
RN Nurse Boldoc – Sacred Heart Hospital
All Med, Incorporated
Medical equipment, supplies, rentals, and repairs
Contact: 541-393-8860
PeaceHealth
Contact: 541-686-7300
Sunday, April 18, 2010
Conducting Research Outline
Research Method Disscussion: Primary - Secondary - Tertiary
Secondary
(you are the second person to see after primary source)
-Books
-Internet
-Journal - reviewed papers
-Periodical (newspaper, magazine, monthly newsletter)
-Interviews with researcher
-Documentary and Film/TV
-Radio/Audio
-Librarian (Dean Walter - science library)
Primary
- Interviews (phone, e-mails, in person, skype)
-OBSERVATION (obtusive, unobtrusive)
obtrusive: asking questions, keep the same questions, leading questions (don't lead solutions, look for problems not solutions
unobtrusive: your not asking questions, neutral
-Experimentation
-Survey
-Focus Groups
-Immersive Research (Patricia Moore)
Tertiary
-Making things (although modles can be primary)
-IDEO shopping cart
-Things that inform, but are direct
-Vaccume formed parts (sheet metal forming would go into either primary or secondary because they apply to the process more directly)
Portland Trip To Modo
Modo: Medical/ Technology cart system
Modo designs and builds technology carts for the worlds' most successful medical device businesses in the world.
Modo designs and builds medical carts for the most successful medical device businesses in the world. It is the only thing we do. We partner with you to develop products tailored to your requirements. Our products range from unique, patentable designs to distinctive, toolkit products developed from proprietary, pre-tooled parts and we provide you with everything from design concepts to production. We work with your "look and feel" to deliver on your brand promise.
NOTES FROM MODO
"healthcare that supports medical devices"
-Three steps: 1. Research
2. Go see environment (whats actually happening)
3. Imagine (gather and create object data)
-simple, clean, sleek
-steelcase: biggest furniture maker
-Healthcare, Nurture
-Herman Miller Healthcare Branch
-Term OEM (ex: can't sell engine without putting in car) (ex: Apple asks OEM to make iphone, don't want to carry inventory)
-Consider sound that carts make within a hospital
-Ergonomics as well as iconic (example is that Modo uses a wheel handle on the upright IV poll in order to have users subconsciously know to grab what looks like the iconic car wheel)
-consider germs, how carts can be cleaned
- Height adjustability
-steps: 1. concept 2. Prototype 3. Production
-Design is focal point of presentation
-only design something that meets an unmet need
-components to a screw connection (screw, locknut, washer)
-Tablet PC technology (iPad) - tablet driven cart
-VESA mount (holes in the back) - VESA pattern is typical
-understanding of metrics is important because everything is manufactured in China
-cleanability of ipad?
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