Des!gn.

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RN Portfolio 7: Period style

Art Nouveau- The image above represents Art Nouveau, a style that was popular between 1890-1910. Art Nouveau means new art and was described to be inspired by nature and geometry, especially the curved lines of plants and flowers. This image displays curved lines, rounded leaves/ flowers, smooth birds The curved lines and floral design allow for easy recognition of this style of design. Art Nouveau is considered to be elegant and more of a decorative style.

Art Deco- Is a style that emerged in France prior to the first world war. This design is depicted by the American Radiator building (New York) above. Deco is a modernist style created with rich and new materials. Cubism, strong craftsmanship, precise lines and colors are important factors of this design. The building has intricate details, tiers of cubed structures and precise linear patterns. This style is dominant and screams expensive.

Punk- Punk is a category of design many of us have come across before and immediately associate it with the punk rock and roll era. This design uses overlapping collage like imaging with bold designs. There tends to be eye catching, disturbing, “inappropriate” imaging. The text typically consists of different fonts and sizes and disproportionate cut out of disruptive images. As you can see the images are overlapping, they look cut out and rather bold. Some of the imagining is not considered appropriate to many individuals. This style looks hand made and may cause some discomfort.

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Portfolio 5-6: Design & Culture

The Rhode Island State House is located within the states capital Providence. This building was built in from 1895–1904 and designed by McKim, Mead, and White. There was also major construction done during the late 1990s. This style of design is considered to be NeoClassical and places emphasis on the walls of the design. This style is based off classical antiquity such as designs from ancient Greece.

The Providence Preforming Arts Center (PPAC) Is a theater space located in downtown Providence, Rhode Island. This building was built in 1928 and designed by architects George and C.W. Rapp. This is considered a renaissance style of design. There are certain ideal geometries that are specifically noted throughout the design. The was major destruction done to the PPAC due to a hurricane which forced reconstruction/ remodeling of this design. There is now a mixture of more modern architecture within this building now. It is more vibrant and has more upgraded design such as the exit ramps, the seating, etc. 

This is a design of the living room/ kitchen area. With all modern appliances, white and metal furnishing this space does present as very modern. However this home is about 90 years old and has been remodeled and redecorated. The table is a mixture of antique and modern design given the rusted metal combines with the glass table top. The carpet is also a redesigned antique thrifted piece from India. Although many of these pieces are from different eras of design there seems to be a smooth balance in the aesthetic. 

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Portfolio #4: SCAMPER

Although this is not the exact image of the delivery room I am referencing, it is the closest one I could find. I once had a patient in labor tell me she felt as if she was giving birth in a dark prison cell. The room was cold, had no windows and was rather dark. She joked about how the nurses /physicians kept peeking in the door window like prison guards. There walls were the same color as the image above and the place was very unwelcoming. Using SCAMPER i would choose to redesign the room. The room was easily accessible and allowed no disruptions between the mother bed, door, monitors and baby weighing station. How ever she was correct, this environment was draining on both the mother and the staff. It was dull and that dullness was continued through the hall and nurses station. However it was dark and given that it was on a lower level windows were not installed. However I would possibly add fogged distorted windows thats sole purpose was to allow sun light in, and not visibility. Per Naccarella (2016) Natural lighting is a key component to enhancing a nurses workspace. I would then add lights in the room with the ability to turn a select few off to allow the mother to set it to her preference. I would add these lights and personal spotlights out in the hall way. I would have over head lights for the time of delivery and retractable mirrors incase the mother wanted to watch. Next I would add some color into the atmosphere. This would increase energy and even produce calmness. All the nurses had their chairs rolled into the hallway for hurdle which was also something that was done right outside the rooms of these patient and so we has to whisper many times. This also calls for a redesign of the nurses station/ hall way to allow adequate spacing for all healthcare providers to converse privately and comfortably. I would also make it so the hallways were not as cold as the delivery rooms them selves so we wouldn’t have to bundle up all year long. Design matters for both nurses and patient and if the patient is uncomfortable the nurse will most likely have to hear about it.

Reference

Naccarella, et. al. (2016). DESIGN MATTERS FOR NURSES. Retrieved    from file:///Users/kathleenclevenger/Downloads/Naccarella%20et%20al%202016%20Design%20Matters%20for%20Nurses.pdf

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Portfolio #3: Elements

                                                Color & Line

I captured this photo at Baba Murad Shah Ji in Punjab, India (May, 2018). This image displays vibrant/ intense color with hues of blue, yellow, pink, orange, red etc. The colors displayed are a mixture of warm and cool tones from the yellow and red to the light blue and pink. The value of colors range from dark blue to light blue and red to orange and then yellow. Although this hall way was deeply saturated with color it comes across as only moderately saturated in this image. The black and white tiles are used place emphasis in the design. The white tiles are also used to break up the image. 

Their are also many lines in this image and they are mainly clear lines. The lines used give some form to these flat walls. The lines on the ground are suggestive and give direction to continue down the hall and not venture L or R. The curved lines in the entrance seem to give some motion to this area. The black patterned tiles on the celling also form a line. This room has a rhythm and symmetry. 

                                              Pattern & Texture

The image I chose to display the elements ‘Pattern and Texture” is also from my trip to India. This was taken at the City Palace in Jaipur, where their current King still resides. These are historic hang carved Indian, Arabic and Europeans pattern designs. Given that they were hand carved there is bound to be some flaws in the symmetry. These are intricate designs with a similar rhythm through out the image. Not quite mono-toned, by more so mute/ washed out earth tones. Each section is made up of a new chunk of pattern.

The texture of the marble and stone were smooth and bumpy. The three dimensional carvings caused a tingling sensation when you ran your fingers up and down.

                                                   Experience

This bench is an object design that serves experience for me. When looking at this piece of furniture I am immediately brought back to this day. It was a dry 115F temp day and this bench was the only object outside the Taj Mahal that was cool to the touch. This stone was purposefully used to allow individuals to sit comfortably for a photo in front of the monument. My body was hot and dehydrated and my sandals felt as if they were melting, however this bench was somewhat refreshing. Not only was it nice to finally sit down it was also one of the only places at the Taj that was not crowded with people. This was because you were only allowed to sit here for a few moments if accompanied by a photographer/ tour guide. The crowed was mainly tourists mainly Indian and some international. People were hot, pushy, and impatient; however this bench provided a moment of clarity. The bench’s placement allowed me to admire the beauty and symmetry of the Taj head on. The view was breathtaking and brought chills to my hyperthermic body. I am able to sense all the things I felt in that moment when I look back at this one piece.

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Pyxis Medstation

I would present this design with a powerpoint presentation followed by hands on access to an empty unit. 

The Pyxis Medstation is a computerized medication storage/ dispensing unit. This tool is used to assist nurse in safe medication administration, storage and tracking. This device uses fingerprint and touch screen technology. The Pyxis allows medications to be locked and accounted for throughout the day. The screen will display the patients MAR and advise the nurse of any medication prompts and warnings. When a medication is read to be dispensed the Pyxis locates the medication signals the compartment selected to light up. This tool may help prevent medical errors, and medication theft.

6 photos I would use to convey an audience:

complete unit

Touch Screen being used

Security auto locks

Medication warning prompt

Finger print scanner access

light up storage compartments with meds

If I was not able to present the whole Pyxis unit I would bring a tablet that simulates the touchscreen/ fingerprint access along with the programmed electronic MAR and prompt screens. Another item I would bring is a med draw to display the set up of medications and show how it lights up. I would also bring along the scanner and placebo medications to display how to scan and count them for an example. 

In order to uses this in a manner mentioned in the article “Nurses make their rounds in health care design” By Amy Eagle I would use this device on the floor and input constructive feedback on how the unit worked, what flaws it contains and what can be added to improve this system. We have the hands-on experience to state what works best in the actual health care scenario and so our input is highly valued.

Resources

Eagle, A. (2016, May 4). Nurses make their rounds in health care design. Retrieved January 24, 2019, from https://www.hfmmagazine.com/articles/2184-nurses-make-their-rounds-in-health-care-design

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                               Design Problem: Paper Charting.

I currently work for a home health agency that still utilizes paper charting. This is the exact form we are required to pick up from our agency, fill out, have signed and returned each week. When considering The Impact of Facility Design on Patient Safety’s (Reiling, Hughes & Murphy 2008) list I have to go with #1 automate when possible. Using computer based/ portal charting will truly eliminate many of the following issues related to paper charting:

1- Excessive paper waste

2- Increased chances of HIPAA violation

3- Requires proper disposal

4- Time consuming to fill out

5- Requires staff to make unnecessary trips to the agency to re-up on sheets

6- Penmanship errors/ difficult to read

7- Narrow room for adequate documentation/ limiting

8- Not cost effective

9- Requires storage space for later access

10- Not shared virtually to others on the patients health care team

11- Medical errors

12- No time recognition

I believe I would go back to stage 3 of the design method to conceptualize the design. Using the SCAMPER method I would substitute the paper documentation sheets for laptops programed with a health care software such as EPIC. When looking at hierarchy the current method is functional yet not reliable. With the updated design I believe this would reach proficiency possibly creativity. Although this would not free us of all problems it would allow for quicker, neater, more detailed documentation. It would also eliminate waste, and provide more secure PHI handling. I believe this to be a more cost effective and efficient solution.

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Bathroom Display One design flaw in my home is the mirror/ shelving in my bathroom. I live in a old home that was built by an Italian handy man. When designing the house he did everything according to his needs. Him and his wife were both no taller than 5’3 and so he designed this mirror cabinet display according to their height. Unfortunately many individuals who use this restroom are required to duck down or stand on their toes in order to see their face in the mirror. The divide for the shelving is directly in the way of the view. Also the lighting under the shelving causes the internal temperature to rise which prevents us from placing any flammable products in 2/3 of the storage area. Solution: the solution to this design would be to have only one layer of shelving higher than eye level for most individuals, rather than two layers of shelving. Lighting could have been placed on the mirror or along the sides to avoid heating of the storage space.