Académique Documents
Professionnel Documents
Culture Documents
Agenda
Environments
Different Floor Covering Options Evidence Based Design Approach to
Evaluate Flooring (safety, comfort and well being of patients & staff)
Installation Issues Floor Coverings Strengths &
Weaknesses
Aesthetic Needs Moisture Management Indoor Air Quality (IAQ) Odor/Infection Control Antimicrobials Safety (Slip/Fall) Ergonomics/Comfort Thermal Properties Roller Mobility Acoustics Visual Comfort/Glare Durability Environmental Impact First Cost/Life-Cycle Costs Maintenance Installation
Flooring Types
Hard Surface
Wood Bamboo Laminate Terrazzo Stone Marble Porcelain Tile Ceramic Tile VCT
Flooring Types
Hard Surface
Wood Bamboo Laminate Terrazzo Stone Marble Porcelain Tile Ceramic Tile VCT
Resilient Flooring
Cork Linoleum Sheet vinyl LVT Rubber
Flooring Types
Hard Surface
Wood Bamboo Laminate Terrazzo Stone Marble Porcelain Tile Ceramic Tile VCT
Resilient
Cork Linoleum Sheet vinyl LVT Rubber
Carpet
Broadloom Carpet (Tufted and Woven) Printed Carpet Axminsters (Woven wool carpets) Performance-Back Carpet
Flooring Types
Hard Surface
Wood Bamboo Laminate Terrazzo Stone Marble Porcelain Tile Ceramic Tile VCT
Resilient
Cork Linoleum Sheet Vinyl LVT Rubber
Carpet
Broadloom Printed Axminsters Performance-Back Modular
Hybrids Flocked Nylon Flooring Woven Vinyl Flooring Hybrid Resilient Sheet Flooring
Evidence-Based Design
Process of basing decisions about the built environment on credible research to achieve the best possible outcomes.
Evidence-Based Design
Objectives:
Improve patient/resident as well as visitor and staff satisfaction Improve quality & operational effectiveness (clinical outcomes) Lower cost of ownership
Issues
1. Volatile Organic Compounds 2. Respiratory Contaminants 3. Microbial Growth
Is shiny clean?
Infection Control
Infection Control
Infection Control
Extraordinary cleaning and decontamination of floors in health-care settings is unwarranted. Centers for Disease Control
CDC GUIDELINES: Extraordinary cleaning and decontamination of floors in health-care settings is unwarranted. Studies have demonstrated that disinfection of floors offers no advantage over regular detergent/water cleaning and has minimal or no impact on the occurrence of health-careassociated infections.947, 948, 977980 Additionally, newly cleaned floors become rapidly recontaminated from airborne microorganisms and those transferred from shoes, equipment wheels, and body substances.971, 975, 981 Focus on those surfaces in close proximity to patient (e.g., bedrails) and those that are frequently touched (e.g., doorknobs). FLOORING IS CONSIDERED A LOW-TOUCH SURFACE
Antimicrobial Treatments
What are they? Do they work? Are they really needed?
CDC INFECTION CONTROL GUIDELINES (2003) Over the last few years, some carpet manufacturers have treated their products with fungicidal and/or bactericidal chemicals. Although these chemicals may help to reduce the overall numbers of bacteria or fungi present in carpet, their use does not preclude the routine care and maintenance of the carpeting.
1. Cushion and carpet pile density affect muscle response. 2. Firm cushion provides lowest muscle responses (less muscle fatigue). 3. Low pile height has the lowest muscle response (less muscle fatigue). 4. Low pile height in conjunction with a very firm cushion provided lowest muscle response of all samples tested.
Rolling Resistance/Mobility
Hard wheel rolling on and deforming a soft surface, resulting in the reaction force from the surface having a component that opposes the motion
VCT
Modular Carpet/ Hard Backing 14.6 lbs 11.8 lbs 14.7 lbs
Effort Required to Initiate Movement Effort Required to Sustain Movement Effort Required to Push Around Corner
VCT
Modular Carpet/ Hard Backing 4.6 lbs 3.8 lbs 4.7 lbs
Effort Required to Initiate Movement Effort Required to Sustain Movement Effort Required to Push Around Corner
Thermal Properties
Acoustics
Better acoustics
Lower stress Lower blood pressure Improved sleep Higher patient satisfaction Increased visitation Lower error rates Higher staff moral
Rise In Hospital Noise Poses Problems For Patients And Staff, Science Daily 2005
Acoustics
Since 1960, daytime sound levels have risen from 57 decibels to 72; nighttime has jumped from 42 decibels to 60. All exceed the World Health Organization's 1995 hospital noise guidelines, of 35 decibels. The measurements vary little among different types of hospitals, indicating the problem is universal.
Acoustics
1LEE
SOUND DESIGN, Inc. Consulting Engineers in Audio, Acoustics and Video Acoustical Report.wpd (classroom analysis)
Visual Comfort/Glare
Visual Comfort/Glare
Visual Comfort/Glare
Visual Comfort/Glare
Installation
24/7 Occupancy Floor Prep/Moisture Limits VOCs (Adhesives & Sealers) Adhesive set-up and cure time Downtime/Lost Revenue
STRENGTHS
Lowest level of roller resistance
Easy to clean & disinfect Most Durable Impermeable to moisture
WEAKNESSES
Increased incidences of slips/falls and related injuries
High glare (waxed VCT / Marble) Maintenance costs (equipment, man power and chemicals when waxed) Poor acoustical properties/increased noise Low thermal insulation value Undesirable ergonomics/comfort
Installation limitations
Resilient Flooring
STRENGTHS
Low level of roller resistance
Easy to clean & disinfect More Durable Impermeable to moisture Creative flexibility for inlays
WEAKNESSES
Potential for slips/falls and related injuries
Varying levels of glare (when waxed) Maintenance costs (equipment, man power & chemicals when waxed ) Increased Airborne Particulates Varying levels of thermal value Varying levels of ergonomics/comfort Scuffing and scratching of no-wax finishes Installation limitations
Carpet
STRENGTHS
Lower incidences of slips/falls and related injuries
Eliminates glare Better acoustics Some thermal benefits
WEAKNESSES
High Level of roller resistance
Less durable Difficult to Maintain Moisture permeable / Flow-thru
Better ergonomics/comfort
Installation Limitations
STRENGTHS
Lower incidences of slips/falls and related injuries
Eliminates glare Improved acoustics Maximum thermal benefits Impermeable moisture barrier / Welded seams Comfort under foot / Reduced fatigue 24/7 Installations / Immediate Occupancy
WEAKNESSES
Medium level of roller resistance
Textile surface restricts use to non-clinical spaces in acute care facilities
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