Facility Planning an Emergency Room

This paper explores the various elements of an emergency facility worth considering while planning for an emergency room. Among the factors that one should consider include legal/regulatory requirements, equipment, color, noise, budgets/cost estimate, and the role of the stakeholders. Regulatory Requirements on the Design and Equipment Of great effects on the nature of an emergency room and the equipment to be installed are the regulatory or legal requirements on emergency services. One such regulation is the Federal Emergency Medical Treatment and Labor Act (EMTALA), a law, which requires health facilities that participate in Medicare to offer emergency services that meet certain standards. First, according to EMTALA, an emergency room must have the right electronic and non-electronic equipment for effective screening, diagnoses, examination, and treatment of patients’ conditions. This equipment should also provide the crucial stabilizing treatment or emergency transfers to other facilities if an examination results dictate so. These regulations, enforced by agencies such as the federal Centers for Medicare and Medicaid Services (CMS), not only revise the meaning and the components of an emergency room but also define the cases in which emergency services should be offered, and the nature/type of patients on whom emergency care should be given (Yuan-Innes, 2012). Furthermore, these regulations overseen by the CMS explain the situations in which specialty medical professionals are required. Failure to adhere to these standards and rules could have extensive connotations such as withdrawal of CMS accreditation and civil penalties. Under the EMTALA regulations, an emergency facility must be licensed as an emergency room or department and be held out to the public by advertisement and other such means. In addition, EMTALA states that emergency rooms should have on-call obligations, ambulances, prior authorization for screening/treatment and are prohibited from delaying these services to verify an individual’s insurance status or payment method. Color Selection Implications and Noise Issues In planning an emergency room, it is important to identify and eliminate any wastes and health hazards while promoting an evidence-based design and practices that enhance patients’ experiences and create sustainable and environmentally friendly facilities. An emergency room plan must therefore ensure personalized care of listening that treats patients with respect, focusing on their needs and interests first (Yuan-Innes, 2012). Noise and colour are thus some of the environmental issues that emergency room planners should thoroughly consider. It should be acknowledged that noise causes not only stress but also distraction in patients and is considered the number one health care complaint in health facilities, more so in recent times during which the levels of noise in health facilities have considerably increased (Brown, 1997). It is therefore advisable that the World Health Organization’s guidelines on the continuous background noise of 35dBA (A-weighted decibel) during the day and 30dBA during the night are observed when planning for an emergency room. Designs that use readily available acoustical materials for