Emergency Care Centre Guidebook

This booklet provides information about our new hospital. Contents

The Emergency Care Centre - designed by Introduction 2 clinicians, focussed on patients. Services in the Emergency Care Centre/Building plan 3/4/5 This booklet is for members of the Level 0 and Level 1 Layout 6/7 public, patients and visitors. Patient Benefits 8 It provides information on how services are provided in the Emergency Care Centre Staff Benefits 9 and how to access the new building. Which Service - Know Who To Turn To 10 Emergency Care Centre Patient Access 11/12/13 Travel and Parking 12 Catering 15 Smoking 15 Special Features of the Emergency Care Centre Building 16/17 Interesting Facts 17 Grampian Hospitals Art Trust and the ECC 18/19 Frequently Asked Questions 20/21

www.nhsgrampian.org/emergencycare Introduction Services in the ECC

Welcome to NHS Grampian’s Emergency Care Centre (ECC). Emergency and urgent care has been carried out in a number The opening of this facility represents a major step forward in of various locations on the Foresterhill Health Campus: the modernisation of facilities and services on the Foresterhill • Primary care out-of-hours service (GMED) in the Health Campus as laid out in NHS Grampian’s Health Plan. David Anderson Building. (www.nhsgrampian.org/healthandcareframework) • Urgent minor injuries and emergency care in the The Emergency Care Centre brings together emergency and urgent A&E Department. care services into one building. Accident and Emergency (A&E), • Medical emergency admissions in the Acute Medical GMED (primary care out-of-hours service), NHS24 and services for Assessment Unit (Ward 49, Aberdeen Royal Infirmary). people who require urgent assessment and treatment are all in • Acute geriatric medicine in Woodend Hospital. the new building. The work that goes on in the building will also support the delivery of unscheduled care and treatment in other These services are now all brought together in the Emergency Care locations throughout Grampian. Centre and their co-location will enable patients to be cared for in the most appropriate service setting for their particular emergency or urgent care need. The centre has X-ray and scanning facilities as well as access to all laboratory services. There are comfortable waiting areas with drinks and snack facilities close by, health and carer information points and a children’s play area. New ward accommodation is provided on the upper floors of the Emergency Care Centre.

emergency care centre | 2 emergency care centre | 3 Level 7 Ward 112 Haematology 112 7 Level 7 Ward 114 114 Oncology Level 6 Ward 110 Medical Specialities 110 6 Level 6 Ward 111 111 Infection Unit Level 5 Ward 108 108 Renal Medicine 5 Level 5 Ward 109 109 Cardiology Level 4 Ward 106 Seminar/Conference Suite Medical High Medical Physics Workshop Dependency Unit 106 4 (General HDU, GI Bleeding Unit , CCU) Level 4 Ward 107 107 Respiratory Medicine

Level 3 Ward 104 Digestive Disorders 104 3 Endoscopy Suite Level 3 Ward 105 105 General Medicine/ Diabetes/Endocrinology Level 2 Ward 102 Geriatric Assessment Unit 102 2

Level 2 Ward 103 Level 1 Operational Centre 103 Short Stay Medicine (NHS24 & GMED) Radiology (Plain Film, Ultrasound) 1 1 Link to Phase 2 Level 1 Ward 101 (authorised access only) Acute Medical Initial Assessment/ 101 Observation Unit Level 0 Emergency Department Pharmacy Link from main ARI Entrance Entrances to Emergency Treatment, 0 0 Minor Injuries Unit/GMED Level 0 Fracture Clinic

Ambulance Access to Link to Phase 2, ARI 0 Acute Medical Initial

Assessment/Observation Unit

Radiology (CT)

Building Plan Building Services Emergency in the Centre Care Floor Plan - Level 0 Floor Plan - Level 1 Staff only Stairwell Entrances Dept Emergency Staff only Stairwell only (operational from 2013) access for movement of patients Link to Phase 2 Restricted Link to Phase 2 ARI Resucitation Joint Waiting Area Reception & dept Emergency

Front of House

CBRN Zone Operational Centre Emergency TreatmentEmergency Patient only Lifts entrance Follow signs from ARI main Main Visitor/Staff Entrance CT Imaging Dept CT Majors CT Imaging Dept Imaging CT Imaging Courtyard Courtyard Visitor & Staff Lifts Patient only Lifts Arrivals Unscheduled Care Entrance Ambulance Visitor & Staff lifts Pharmacy Injuries Unit GMED & Minor Minors Visitor & Staff Stairwell Staff only Stairwell Staff only Stairwell Visitor & Staff Stairwell Initial Assessment Acute Medical Imaging Dept Fracture Clinic Observation Unit Observation Accommodation Services Office/Support

LEVEL LEVEL LEVEL LEVEL Staff only Stairwell WE WE WE WE Stairwell Staff only N N N S N S S S 0 1 Patient benefits Staff benefits

The modern design of the Emergency Care Centre creates the The Emergency Care Centre is a modern, state of the art facility perfect environment for the care of patients. designed in partnership with clinicians. It is the perfect backdrop to Benefits include: a positive working and learning environment. • Better experience for patients Benefits include: For urgent and emergency care patients the centre will provide • Increased opportunities to deliver care in innovative and early diagnosis resulting in earlier and more appropriate creative ways. treatment. Services will be able to work together in a more • Improved learning opportunities for staff in all aspects of organised way. emergency and urgent inpatient care. • Less risk of infection • Better working environment, with modern facilities and, The accommodation in the new Emergency Care Centre is where appropriate, new equipment. predominantly in single rooms with en-suite facilities. • Improved security. This will reduce the likelihood of healthcare acquired infection. • Integrated working leading to increased career opportunities. • Reduced admissions/shorter stay in hospital • Enhanced opportunities for multi-disciplinary team working With more diagnostic, treatment and care services becoming and training. available in the community, more patients are likely to be treated • Enhanced support for clinicians. without the need for admission to hospital. • Privacy and dignity The Emergency Care Centre will deliver clinical care in a modern environment. Maintaining patient dignity and privacy has been an important element of the design process.

emergency care centre | 8 emergency care centre | 9 Which Service – Know Who To Turn To Emergency Care Centre Patient Access

When you are ill or injured it is important that you go to the right 999 Ambulance service to ensure you get the right advice, treatment and support Patients arriving by ‘999’ emergency ambulance will enter the for recovery. NHS Grampian’s ‘Know Who to Turn To’ information Emergency Department via the dedicated ambulance entrance on leaflet and website (www.know-who-to-turn-to.com) gives the west side of the building. This leads directly to the Emergency practical advice on which service to contact to get help with illness Treatment and Joint Resuscitation Area. and injury. By Car or on Foot The Emergency Department in the Emergency Care Centre provides Patients arriving by car or on foot will enter the Emergency care for people with symptoms of serious illness or who have been Department at the walk in entrance on the west side of the badly injured. building. The adult Emergency Department, the Minor Injuries The Minor Injuries Unit in the Emergency Care Centre provides care Unit and GMED will share a single reception. Staff at the reception for people with urgent minor injuries. There are 15 other minor desk will ensure patients are directed to the most appropriate service. There is a drop off zone in front of the entrance and there injuries units in the Grampian area. are a small number of parking spaces adjacent to the Emergency The GMED out-of-hours service will move from the David Anderson Care Centre for patients and relatives to park. All other visitors Building into the Emergency Care Centre. There are 6 other GMED should use Car Park 2, the main visitors’ car park off Foresterhill units in Grampian which provide out-of-hours care to patients who Road. are too ill to wait until their GP surgery opens. To access the GMED service telephone NHS 24 on 08454 242424. Returning to the Fracture Clinic Patients returning to the Fracture Clinic will enter by the Emergency Department ‘walk in’ entrance on the west side of the Emergency Care Centre.

emergency care centre | 10 emergency care centre | 11 Emergency Care Centre Patient Access (cont)

Patients referred by GP On entering ARI from Foresterhill Road follow signs for the Patients arriving by ambulance as ‘planned emergencies’ eg Green Zone down the main staircase to the main hospital corridor. referred by a member of the primary care team, will enter the Continue along the main corridor until directed right to the building via the dedicated ambulance entrance on the south side Emergency Care Centre. Use the lifts or stairs to ascend to other of the building. From there they will be transferred to the Acute levels. These lifts and stairs are the only access for visitors. Medical Initial Assessment/Observation Unit on the first floor There is a separate set of lifts dedicated to the transport of patients. using the dedicated patient lifts. Patients referred to the Acute Staff not involved in the movement of patients will also use the Medical Initial Assessment/Observation Unit who arrive by car or visitor lifts. To access the Emergency Care Centre from the on foot will enter by the main Aberdeen Royal Infirmary entrance Phase 2 building of Aberdeen Royal Infirmary use the lifts or stairs off Foresterhill Road and follow signs to the Green Zone and the to descend to the basement of Phase 2. Follow the signs for the Emergency Care Centre along the main ARI corridor. Green Zone and Emergency Care Centre to the visitor lifts and stairs. Children Visiting Times Children requiring emergency care will continue to be seen in The accommodation in the ECC is mostly in single rooms. the Emergency Department of the Royal Aberdeen Children’s This offers an opportunity for a more flexible approach to visiting. Hospital. Children attending the GMED service will also be seen NHS Grampian’s Visiting Policy is currently under review. in the Emergency Department of the Royal Aberdeen Children’s Current visiting arrangements will remain in place until the review Hospital. Staff at the reception desk will direct patients to the most is complete. Advice on ‘How to be a good visitor’ can be found at appropriate service. www.nhsgrampian.org. Visiting Patients in the Emergency Care Centre Visitors to the wards in the Emergency Care Centre should enter Travel and Parking via the main Aberdeen Royal Infirmary entrance off Foresterhill The Foresterhill Campus is served by both First Bus and Stage Road. Visitors will not be able to enter the Emergency Care Centre Coach. Routes and times are displayed at the bus stops or at through the Emergency Department entrances. www.stagecoachbus.com or www.firstgroup.com.

emergency care centre | 12 emergency care centre | 13 Bus Stop Locations Catering • Westburn Road (south end of Foresterhill Road). There are vending machines in the Emergency Department waiting • Ashgrove Road West (north end of Foresterhill Road). areas for waiting patients. Visitors can use the WRVS Coffee Plus Café • Aberdeen Royal Infirmary Main Entrance. in the Royal Aberdeen Children’s Hospital, the Cairngorm Coffee Shop • Cornhill Road (east end of Foresterhill Campus). near the main ARI entrance, the Suttie Centre Café and the Phase 2 Parking outside the Emergency Care Centre will be specifically Dining Room in the lower ground corridor of Aberdeen reserved for Emergency Department and GMED patients and Royal Infirmary. relatives. Visitors or patients to the upper floors should use Car Smoking Park 2 off Foresterhill Road. In line with all other buildings on the Foresterhill Campus, smoking There is a free shuttle bus service which operates around the is not permitted in the Emergency Care Centre. The nearest smoking Foresterhill Health Campus. There is also a free shuttle bus which shelter is opposite the Rotunda entrance towards the east end of travels between Foresterhill, Summerfield House, Woodend, Royal Aberdeen Royal Infirmary. For help and advice to stop smoking go to Cornhill and Woolmanhill Hospitals. This service is for staff, www.canstopsmoking.com or contact your Community Pharmacist. patients and visitors and operates Monday to Friday. Routes and timetables can be found at the shuttle bus stops and on the NHS Grampian website (www.nhsgrampian.org). For more information about public transport (including buses and trains) please call Traveline Scotland on 0871 200 22 33 or go to www.travelinescotland.com.

emergency care centre | 14 emergency care centre | 15 Special Features of the Emergency Care Centre Building

• Separate lifts for movement of patients. • Geriatric Assessment Unit for comprehensive geriatric • Separate link corridors for movement of patients to Main assessment. Theatre Suite and other facilities in Aberdeen Royal Infirmary. • Specialist pressure rooms for the management of patients • Separate lifts for use by facilities staff for the movement of with infectious conditions. clean goods into the ECC and used goods out of the ECC. • Conference Suite on Level 5 comprising flexible seminar and • Predominantly single room accommodation all with en-suite teaching accommodation . toilet and shower facilities. • Teaching room on each level. • Tracked hoists for simple movement of patients between Interesting Facts en-suite and bed space. During the construction of the ECC there were up to 350 workmen • Pneumatic tube for immediate transfer of samples to on site at any given time. The building contains: laboratory services. • Enough plasterboard to clad the Empire State Building. • Card activated security access system. • Enough flooring to cover 7 football pitches. • All windows with the exception of isolation rooms open to • 500 miles of wiring. allow natural ventilation and improve patient comfort. • 8000 light fittings. • Operational Centre providing co-located workspace for • 878 sinks. NHS 24, GMED, Social Work, Community Nursing. • 1410 soap/ gel dispensers. • Shared reception for Emergency Department and GMED ensuring patients are directed to most appropriate service. • Joint resuscitation area optimising care for adult and paediatric patients. • Medical High Dependency Unit incorporating General High Dependency, GI Bleeding Unit and Coronary Care Unit. • Co-location of Emergency Department and radiology facilities.

emergency care centre | 16 emergency care centre | 17 Grampian Hospitals Art Trust and the Emergency Care Centre

Grampian Hospitals Art Trust has been enhancing the healing Each waiting area has a gentle light box made by artist environments in NHS Grampian by using art, colour and good Paula Thompson with images of local nature such as wheat, water design for almost 30 years. For the Emergency Care Centre project and sky. Round windows have imagery by Linda Schwab casting Grampian Hospitals Art Trust worked alongside the Project Team to colours across the corridors. create a welcoming and calming visual environment for patients, carers, staff and visitors. The Emergency Department on Level 0 features design work by Sunil Vishan of Openbox Designs. The images and accompanying text are designed to help patients and relatives find their way around the Emergency Department and to gain a greater understanding of the different stages of their treatment within the department. StudioLR, specialists in art and design, has enhanced the main way finding with innovative signage and intriguing patterns. This includes the use of poetry by Alec Findlay, created in consultation with staff and the public. Light box designs by Paula Thompson.

emergency care centre | 18 emergency care centre | 19 Frequently Asked Questions

How many beds are there in the ECC? When will the Emergency Department entrance be There are 353 inpatient and day beds. complete? The innovative design of the Emergency Care Centre fits into a tight I want to visit someone in the ECC, why can’t I enter location. To complete the new building the old A&E department through the Emergency Department? has to be demolished. This work (referred to as ‘section 3’) The ED is a secure area focussing on clinical activity and is not commences in January 2013 after services move in to the designed to provide a thoroughfare to the rest of the building. ECC and the old A&E is vacated. Will there be a café at the ECC? Why are some of the facilities shared by the wards on After the ECC is opened there will be further construction work to that floor? remove the old A&E building and complete the new Emergency The ECC was designed to maximise space for clinical activity. Department Entrances. This will include the completion of a foyer. All shared facilities are non-clinical eg teaching room, day room, NHS Grampian is currently working on plans for facilities in this pantry, ‘point of care testing’ room, staff rest rooms, store area. cupboards etc. Why are there separate lifts for patients? The design of the ECC is built around the needs of patients and maximising their clinical safety. The dedicated patient lifts ensures patients can be transferred to the most appropriate care location without delay, reduces exposure to infection and helps maintain patient dignity by avoiding sharing lifts and corridors with visitors.

emergency care centre | 20 emergency care centre | 21 This publication is also available in large print and on computer disk. Other formats and languages can be supplied on request. Please call Equality and Diversity on 01224 551116 or 552245 or email [email protected] Ask for publication CGD: 120689