Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... ·...

41
Lab Design Andrew Whitelaw (a microbiologist, not an architect!)

Transcript of Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... ·...

Page 1: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Lab Design

Andrew Whitelaw

(a microbiologist, not an architect!)

Page 2: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Why bother?

• Improve efficiency

– Reduce wasted time waiting for work

– Reduce unnecessary staff movement

– Improve flow

– Minimise handling distances and costs

– Reducing walking distances

• Can save up to 30% of material handling costs

Page 3: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Basic lab components

• Pre-analytical– Phlebotomy areas– Reception / sorting– Data capture– Filing

• Analytical – Variable

• Post analytical– Office space– Filing– Printing / sorting

Page 4: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

The process

Programming SchematicsDesign

Development

Construction documents and

contractsConstruction

All issues discussed Floor plan outline

More detailed floor plan, casework, engineering equipment etc

Final stages, usually only architect / builders involved

Page 5: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Where to start?

• Three major elements to consider

Efficiency

Equipment

Safety

Reducing costs, waiting times, walking times, errors

Reducing accidents / exposures

Functioning, properly located and installed

Page 6: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Efficiency

• Space– Quality and quantity

– Access and Movement• Between labs and within lab

– Staff in the space

• Storage

• Ventilation

• Lighting

• Plumbing

Page 7: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Space – the final frontier

• Usually too little

• Existing space gets squeezed

– Unsafe

– Inefficient

– Error prone

• Control space by

– Quantity

– Quality

– Access and traffic

Page 8: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Space – how much?– Needs assessment

• Functional

• Storage (see later)

• Support

Page 9: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting
Page 10: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Space

• Quantity– Needs assessment

• Functional

• Storage (see later)

• Support

• Quality– Functional

relationships

– Proximity diagram / bubble diagram

Page 11: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting
Page 12: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Movement

• Personnel, patients and specimens

• Functional relationships between depts

– Reflect all of above

Page 13: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

CLSI

Page 14: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Movement

• Personnel, patients and specimens

• Functional relationships between depts

– Reflect all of above

• Details of casework, doors, equipment in a lab

– Specimen movement most useful

Page 15: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Some design concepts

• Single entry point

– Access control, streamlining

• L-shaped benches

• Mobile benches

• Try to separate disciplines

• Use spaghetti diagrams

Page 16: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Specimen Movement

Page 17: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Spaghetti diagrams

Page 18: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Single entry point L-shaped benches

Separate disciplines

Page 19: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Flexibility

• Plan for expansion– Don’t let “unused” expansion

space be hijacked!

• Flexible casework– Affected by plumbing,

electricity supply, ventilation

– Place floors before casework

• Size of doors – changing large pieces of equipment

• Electrical supply, ventilation, plumbing, etc etc…

Page 20: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting
Page 21: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

People

Page 22: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting
Page 23: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

People• Space for people to move

comfortable

• Not too much space –inefficient

• Some take up more space than others

• Cater for staff with disabilities

• Rest/personal space (tea room, sleeping area, locker rooms etc)

Page 24: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Ventilation, lighting

• Ventilation expensive, important– Safety and comfort

– Must build in expansion capacity (15-25%)

– Ideally directional (clean to dirty)

• Lighting– Different types of lighting for

different work

– Plan for expansion!

Page 25: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

NCCLS, 1998

Page 26: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Storage design

• Space (again…)

• Storage conditions

• Location

• Nature of materials being stored

• Access control

• Safety

Page 27: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Storage space

• Determined by

– Workload

• Current and projected

– Nature of testing

– Annual orders and usage

– Stock management systems

• Lead time

• Shelf life

Page 28: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Location, location, location

• Hazardous substances

– Away from lab / office areas

– In line with local / national regulations

• Adequate ventilation – not into working areas

• Adequate drainage if necessary

• But also accessible for retrieval…

Page 29: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Conditions

• Temperature

– Room temp – 18-26 C

– Fridge – 2-8

– Freezer - <-20

• Walk in fridge / freezer vs portable units

• Humidity

– <20% - static electricity

– >50% - condensation

Page 30: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Nature of materials

• Hazardous

– Structural safety, location

• Weight

– Paper records, heavy containers

• Duration

– Paper records may need to be stored for 2 years or more

Page 31: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Access control

• Who needs access to storage?

• What form of access control

• Number of doors

• Centralised vs decentralised

Page 32: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Safety

• Nature of materials

– Fire risk

– Fume risk

– Corrosive liquids

• Additional requirements

– Ducting, drainage, access control, monitoring

Page 33: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Safety – general design

• Access control (again…)– More doors = more difficult to maintain

• No carpets in lab – difficult to keep clean

• Chairs – easily cleanable

• Sinks and hand washing– Number and location

• Spacing between equipment / furniture

• Benches impervious to solvents etc

Page 34: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Biosafety levels

0: No contact with blood, body fluids, secretions, infectious agents

1: Contact with closed biological specimens; work with well characterised agents that rarely cause disease

2: Direct exposure to body fluids, tissue; little chance of exposure through inhalation

3: Agents can cause serious / lethal disease through inhalation

4: High risk of aerosol transmitted infections, frequently fatal, treatment unknown / not available

Page 35: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Level 1

• Pre-analytical area

• Some research labs (depending on work)

• No specific extra design features

Page 36: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Level 2

• Most clinical laboratories

• Biosafety cabinet (or other containment)

– If procedures produce aerosols

– High concentration of infectious agents

– Located away from doors / windows; away from heavy people traffic

• Eyewash station available

Page 37: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Level 3

• TB lab

• Access through anteroom

• Sealable doors

• Sealed windows

• Ducted air ventilation; unidirectional flow (clean to dirty)

• All work in BSCs

Page 38: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Level 4

• Either working in suit, or a cabinet

• HEPA filters

• Showers

• Double door autoclave

• Hands free sinks

Page 39: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Equipment

• Automation

– Chemistry, immunology, haem, toxicology

• more automated

• often consolidated

– Linear arrangement often best

– Adjacent to specimen receiving / prep area

– Microbiology – less automated, but changing

Page 40: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Equipment issues

• Comprehensive list– Current and future

• Size / footprint / weight

• Electrical supply / emergency power

• Plumbing / type of water

• Noise / vibration

• Cables

• Clearance

• Heat generation

• Fumes generated / ventilation

• Airflow around equipment

Page 41: Lab Design - Stellenbosch Universityacademic.sun.ac.za/stellmed/CourseMaterial/Leadership and... · 2016-09-06 · Why bother? •Improve efficiency –Reduce wasted time waiting

Summary

• One size does not fit all• Need to understand your laboratory• Use diagrams to illustrate workflow, and

arrangement of labs• Don’t forget

– Storage– Safety– Equipment– Ventilation– Lighting– People!