Xiomara Guerra Industrial Design Portfolio 2017
About Z! Xiomara ( Z for short) has always loved helping people. Early in nursing school, a professor taught Z that nurses work with the three H s: Head, Heart, and Hands. That perspective proved true throughout her career as a Registered Nurse, starting in 2005 in a medical surgical unit, and continuing on to prestigious gastrointestinal endoscopy labs at USC University Hospital in Los Angeles and Beth Israel Deaconess Medical Center in Boston. In 2012 she joined a pilot program funded by the Center for Medicare and Medicaid Innovation (CMMI) providing posthospitalization care management to reduce hospital readmissions. Z recently moved to New York City to pursue an MFA in Industrial Design at Parsons the New School for Design. She thrives on problem solving and learning through making, driven by a passion for improving quality of life and how humans care for one another. Xiomara Guerra xiolisa@gmail.com 1
Contents Follow the prompts at the top right side of the screen. First click on then click on 1. Schedule your interview To extend services beyond the expiration date you must go to an in-person interview in Charlestown. The Ride will provide complimentary transport to the interview. Call The Ride Eligibility Center at 617-337-2727, option 4 Monday Friday: 8 AM 5 PM Within 20 seconds position the catheter at level of transducers Do not occlude the sensors 2. Add money to your account By phone: Call 888-844-0355, option 2 Monday Friday: 7 AM 8 PM Saturday Sunday: 9 AM 5 PM You will need your Ride ID number and a debit card or major credit card Funds post in 1 hour Program will read low level Online: http://commerce.mbta.com Funds post in 2 business days In person: CharlieCard Store at Downtown Crossing Station Monday Friday: 8 AM 5:30 PM Accessible entrance is in the 101 Arch Street building in Downtown Crossing Funds post in 1 hour 03 07 3. Book your transport 10 An IV splint and guard A guidebook for staff independence An improvement in patient communication 13 A desktop meditation inspiration 15 A new tool to facilitate crochet 20 A children s creative activity Xiomara Guerra xiolisa@gmail.com 2
03 The Cradle A HANDCRAFTED BAMBOO SPLINT AND GUARD FOR IVS A powerful sentiment among hospital patients is a sense of uneasiness with all the tubes, machines, noises, smells, sensations, and more, that all adds up to an uncomfortable and sometimes scary experience. It is not uncommon to hear someone say that they felt like just a number or a science experiment. The IV is an important and small detail of a hospital stay, but it is the small details that add up to impact the overall experience. Inspired after exploring the strengths and limitations bamboo as a material. It is lightweight, strong, flexible, warm and inviting. Xiomara Guerra xiolisa@gmail.com
A HAND IV IS NECESSARY BUT DIFFICULT In the hospital, IVs are necessary and it is best practice to place them in the hand. If something goes wrong with an IV it can be replaced further up the arm. An IV in the hand can be painful, especially when the hand bends back at a sharp angle or when the tubing bumps up against something. Too much movement in the hand can dislodge the IV, requiring a new one be placed. Sometimes an armboard is used for stabilization. Typically they are made of cardboard wrapped in a plastic film. Other versions are made of injection molded plastic, or may include polyurethane foam, metal, elastics or Velcro. Patients will often limit their movement or guard the IV with the opposing hand as protection. Ideal hand position Bending the wrist or bumping the tubing causes pain or a dislodged IV Xiomara Guerra xiolisa@gmail.com 4
ENHANCE A SENSE OF CARING BY USING MORE NATURAL MATERIALS IN THE HOSPITAL The shield protects against bumping and the splint prevents the hand from bending too far. The shield bamboo strips are sewn onto woven fabric made of natural fibers such as jute or hemp. The splint is made of laminated bamboo veneer. Future iterations will explore different materials, such as molded fiber pulp coated with wax. Like many healthcare products, it is disposable. Many hospitals send waste to incinerators and it is important to consider what toxins might be released when products are burned. Xiomara Guerra xiolisa@gmail.com 5
GOING BEYOND MEDICAL FUNCTION TO IMPROVING THE DISRUPTIVE EXPERIENCE OF HOSPITALIZATION Xiomara Guerra xiolisa@gmail.com 6
07 Esophageal Manometry Water-perfused catheter Esophageal Lab Handbook IMPROVE AUTONOMY OF TEMPORARY STAFF Numbered sensor lumens A self-initiated project while working as a staff nurse at the Esophageal Lab at USC University Hospital in Los Angeles, which specializes in tests and procedures of the upper gastrointestinal tract. Work at the Lab requires highly detailed and site specific knowledge, which is easily forgotten when not practiced on a regular basis. At full capacity, the Lab requires three Registered Nurses (RNs), but is regularly staffed with only two RNs due to unstable demand. The third position is filled as needed by a temporary nurse staffing agency. Agency RNs are familiar with the lab but have difficulty recalling processes and protocols due to infrequent work there. Consequently, the agency RNs are limited in the work they can do independently and require coaching by a regular staff nurse who is busy with her own patients. Sensor lumen connection site Catheter sensors Xiomara Guerra xiolisa@gmail.com
THE HANDBOOK IS USED IN STAFF TRAINING AND AS AN ONGOING VISUAL REFERENCE On busy days, the work load is more evenly distributed among all nurses. Several agency nurses expressed increased confidence in performing tasks independently. As a result the lab is able to schedule patients with more flexibility, thereby increasing patient access to lab services without compromising standards of quality. Regular staff Independent in: Pre-procedure Prep Post-procedure Monitoring Simple Endoscopy Room and Equipment Prep Esophageal Manometry Manoscan Manometry Esophageal ph Monitoring Temporary staff Bravo ph Monitoring Pre-procedure Prep Post-procedure Monitoring Simple Endoscopy Room and Equipment Prep Esophageal Manometry Manoscan Manometry Esophageal ph Monitoring Bravo ph Monitoring Lab Book Xiomara Guerra xiolisa@gmail.com 8
12. Final Calibration steps ManoScan Equipment and Calibration Esophageal Manometry Equipment Please read the following instructions to the end before starting the sequence. Follow the prompts at the top right side of the screen. ManoScan Workstation Touch screen PC setup Hydraulic capillary Infusion System First click on then click on Within 20 seconds position the catheter at level of transducers Keyboard & mouse ManoScan module Calibration chamber PC Polygraph ID Hardware Do not occlude the sensors Program will read low level Connects to Manoscan module ManoScan Catheter 36 radial sensors Main water valve Transducers N2 gas gauge Water Channels When prompted by computer, position catheter 50cm above transducers. Marked with red dots Program will read high level Marked at every 1cm 2 Inactive sensors (Silver) Wait for Calibration Succeeded Click to save calibration When the high pressure (left) gauge reads 100 psi or less, replace N2 tank (size D) (refer to Arndorfer Manual for N2 Tank Replacement) Scope Set up (room 1 and 2) and Testing (all rooms) Left gauge Right gauge 1. Insert 3 valves/caps into scope Transducers Nitrogen Tank Valve Water channels Nitrogen lines Water chamber Must be at 15 psi 2. Insert scope into Processor CLICK Nitrogen wrench 3. Double-click on Polygram.Net icon POLYGRAM NET(TM).lnk 4. Click Continue under System Verification WAIT for the all the names to load onto the screen. 3. Connect camera. Line up the yellow dot with bottom yellow line and turn up CLICK Nitrogen tank 5. Connect each lumen of the motility catheter to each of the 8 tranducers on the infusion system Water capillaries (see below) Match! Water chamber holder Nitrogen Tank Valve Match numbers of sensor lumens with numbers of water channels 4. Connect water bottle. Insert vertically then twist to complete the connection Xiomara Guerra xiolisa@gmail.com 9
10 THE RIDE THE RIDE Info Sheet STREAMLINES IMPORTANT INFORMATION ABOUT TRANSPORTATION ASSISTANCE A self-initiated project while working as a care transitions nurse at the Post-Acute Care Transitions (PACT) program at Beth Israel Deaconess Medical Center in Boston. Patients who were discharged from the hospital received close follow-up care by hospitalbased nurses coordinating with other healthcare providers to reduce preventable readmissions. Inadequate access to transportation is a common barrier to receiving care, so the nurses routinely help patients access transportation services. THE RIDE is a shuttle service operated by the Massachusetts Bay Transportation Authority (MBTA) available for people who are unable to access regular public transportation. Healthcare providers can expedite applications and access temporary services until the enrollment is complete. Patients are often overwhelmed by the paperwork and application process, leading to incomplete applications. [John Doe], your Account ID Number for The Ride is: [123456] Your temporary service with The Ride will expire on: [Feb 1, 2015] Transportation will cost $3 each way To access services: 1. Schedule your interview To extend services beyond the expiration date you must go to an in-person interview in Charlestown. The Ride will provide complimentary transport to the interview. Call The Ride Eligibility Center at 617-337-2727, option 4 Monday Friday: 8 AM 5 PM 2. Add money to your account By phone: Call 888-844-0355, option 2 Monday Friday: 7 AM 8 PM Saturday Sunday: 9 AM 5 PM You will need your Ride ID number and a debit card or major credit card Funds post in 1 hour Online: http://commerce.mbta.com Funds post in 2 business days In person: CharlieCard Store at Downtown Crossing Station Monday Friday: 8 AM 5:30 PM Accessible entrance is in the 101 Arch Street building in Downtown Crossing Funds post in 1 hour 3. Book your transport Call [888-920-7433] 7 Days, Including Holidays: 8:30 AM 5 PM Trips must be scheduled no later than 5 PM the day before travel, and up to 14 days in advance. For questions about The Ride call 617-222-5123 Xiomara Guerra xiolisa@gmail.com
THE APPLICATION PROCESS IS OVERWHELMING DUE TO THE INHERENT COMPLEXITY OF THE PROCESS AND DETAIL OF THE WRITTEN INSTRUCTIONS Apply for THE RIDE and wait response When accepted write down Rider ID number Call Number A to set up interview Call Number B to add money to account Arrange medical appointment with healthcare provider Read map to determine Number C Go to in-person interview for permanent service Call Number C to set up transport Xiomara Guerra xiolisa@gmail.com 11
NURSES REPORT LESS CONFUSION AND LESS TIME SPENT EXPLAINING DETAILS AND PROCESS TO THEIR PATIENTS Trip Negotiations Scheduling RIDE trips What is THE RIDE? South Area: National Express NE Adding funds to your RIDE account If, during callbacks the night before a trip, you receive a promised pick-up/drop-off time RIDE service is operated by three 888-920-7433 contractors under (voice, contract toll-free) the that or MBTA. does 888-607-7577 not The work Core for you, (TTY, you toll-free) may negotiate trip times with your RIDE contractor. THE RIDE paratransit service provides You must door-to have door, funds shared-ride in your RIDE Area transportation account is served to schedule to by all three a trip. contractors Several http://trips.jv-theride.com/rideraccess/signin/start.aspx and options includes are Boston, Brookline, Please Cambridge call your contractor and as soon as possible. Some changes are not considered Guide TABLE eligible OF people CONTENTS to who cannot use fixed-route available: transit (bus, subway, trolley) Somerville. all or A some customer of can book a round trip from any area into negotiations the core area and without will incur a premium non-ada fare rate. These include, but aren t the time because of a physical, cognitive or mental disability. Serving: Core area municipalities of Boston, Brookline, Cambridge, and Somerville, a transfer. A customer booking a trip from the core area to a location limited outside to, changes of core and the non-core municipalities of Braintree, Canton, requested Cohasset, less Dedham, than one Dover, hour before a trip, rescheduling a missed area must call that area s provider. However, if a customer books trip, a trip rescheduling within the core 1. Online: at http://commerce.mbta.com: Allow two (2) business Hingham, days Holbrook, for Hull, Medfield, Milton, Needham, at least Norwood, 30 minutes Quincy, earlier Randolph, or later than the originally requested time, THE THE RIDE is operated by the Massachusetts area, the customer may call any Sharon, of the service Walpole, providers. Wellesley, To schedule Westwood changes trips, and to please pick-up Weymouth. call posting. Bay Transportation Authority (MBTA) in or drop-off locations, or same day requests. Some requests may What is RIDE THE RIDE?...3 Service The South Area also includes compliance with the federal Americans with Disabilities Act (ADA). the Under appropriate the ADA, contractor directly. Customers with unconditional not eligibility be accommodated. may be small portions of Abington, Avon, Brockton and Stoughton that are within ¾ miles of Fares...3 paratransit functions as a safety net for people whose disabilities able prevent to make them reservations from online; ask your contractor for details. 2. Phone: Call us at 888-844-0355 (voice, Relay), select option MBTA 2 bus and service have your during operating hours. Adding funds to your RIDE account using...4 public transit. It is not intended to be a comprehensive system Reservations of transportation Transfers card info and RIDE ID# ready, from 7AM Hours: 8PM Monday 8:30AM through 5PM, 7 NE also Friday days serves and per week, trips 9 including holidays. Trips may that meets all the needs of persons with disabilities, and it is distinct to/from the border communities of Newton and Weston as long be booked from medical from one or Scheduling RIDE trips...5 AM 5 PM. Saturday and Sunday, including holidays. to fourteen We days as accept in advance. one end Master of the Card, human services transportation. You will travel with other customers going in the same trip is located within Trips spanning one of the multiple non-core service area communities areas may require listed a transfer trip, except for certain Trip Negotiations...7 Visa, Discover or American Express credit cards and debit above. cards supported by general direction. trips to border communities. The contractor serving your city or town can arrange Master Card or Visa. Funds North post Area: to your Greater account Lynn within Senior 1 hour. Services GLSS Transfers...7 transfers for trips to other MBTA service areas. You will remain on your vehicle until 888-319-7433 (voice, toll-free) Trips or to 800-621-0420 appointments should (TTY, be toll-free) the actual transfer to the other vehicle takes place and then continue on your trip. Travel times...7 Accessible vehicles are used to serve 3. persons Mail: Send with a disabilities, check or money including order. those Make who checks or money orders payable to scheduled by arrival time. This is to ensure that you use wheelchairs and scooters. Preferred https://handyline.glss.net/rideraccess "MBTA type -vehicles THE RIDE will Fares" not be and honored. note THE your RIDE are scheduled to arrive before your appointment. Return trips are scheduled by Cancelling trips and No-Show/Late Cancellation policy...7 ID# in the memo portion of your operates 365 days a year generally from Travel times check 5AM or money 1AM in order. sixty (60) Allow Serving: cities five and (5) Core towns. business area For municipalities days for posting. departure of Boston, Our time Brookline, address to ensure Cambridge, that we allow and for Somerville, you to conclude your appointment. On the day of your trip...8 RIDE trips with origin and destination within is: 3/4 mile of fixed-route and service the non-core that municipalities of Requested Beverly, Chelsea, arrival and Danvers, return times Everett, must Lynn, be at Lynnfield, least one hour apart. Normally, trip duration will be an hour or less and is based on distance and other Subscription service...9 operates outside of these hours, or in other municipalities within 3/4 Malden, miles Marblehead, of MBTA bus Melrose, Middleton, Nahant, Peabody, Reading, Revere, Salem, service, extended RIDE service is available. Saugus, Stoneham, Swampscott, customers. THE RIDE travel time should be comparable to fixed route travel times, Please Topsfield, notify Wakefield, the contractor Wenham, if you Wilmington including will be traveling (new) More travel options for RIDE customers...9 the time with necessary a PCA, to guest(s), travel to child the bus or service and MBTA Winthrop. - THE RIDE Fares stop, wait for the bus, ride time, animal. Infants and small children transfers, must ride and in travel a federally from approved the final stop child to passenger Keep your profile current...10 Fares 10 Park Plaza - Rm. 5000 the ultimate destination. Travel times may restraint until they are at least 5 years increase old due and to weigh inclement more than weather, 40 pounds. traffic, or Children diverting to pick up another customer who Driver assistance...10 GLSS Boston, also serves MA trips 02116 to/from the weighing border more communities than 40 pounds of Burlington, but missed less Medford, than a return 8 years pick-up. old or less than 4 9 tall must ride The local one-way ADA fare for each registered passenger or guest Winchester is $3, when and Woburn as long in as a one booster end seat. of the School trip is located transportation within one of minors of the noncore area communities listed above. Appropriate behavior on THE RIDE...11 (Grades K-12) is not provided. booking 1-14 days in advance. Other tips...11 4. In-Person: Visit the CharlieCard Store at Downtown Crossing Station anytime Cancelling trips and No-Show/Late Cancellation policy You may review or change trips one to fourteen days in advance of your trip, up until Compliments/complaints...12 Monday through Friday, 8AM to 5:30PM. The accessible entrance is at 32 One-way fares for premium non-ada West Area: Veterans Transporation 5PM of Services the day before VTS Summer trips are Street $5 per via registered the 101 passenger Arch Street or building guest. in Boston. Cash, checks, money service. After 5PM, trips for the following day are scheduled Access Advisory Committee to the This MBTA applies (AACT) when...12 the trip origin and/or Please cancel trips as early as possible so that THE RIDE can schedule efficiently and orders destination and major is greater credit/debit than 877-765-7433 3/4 cards miles are from accepted. (voice, Funds toll-free) post and or customers 888-553-8294 your account are called (TTY, to confirm toll-free) their pickup times. If you do not receive a call by improve service for all RIDE customers. Use contractor web sites or call your Contact us...12 MBTA bus or subway service and outside within of the 1 hour. core areas, or for https://rideaccess.veteranstheride.com/rideraccess/signin/start.aspx same-day trip 9PM, call your contractor to be sure the trip has been scheduled. requests or changes, except for trip time negotiation. Reservationists will confirm the contractor directly. THE RIDE Service Area Map...14 fare when you schedule a trip. Serving: Core area municipalities of Boston, Brookline, Cambridge, and Somerville, and the non-core municipalities of A same Arlington, day request, Bedford, or Belmont, requests Burlington, for next-day Customers Concord, trips after 5PM, can be placed through will be considered as no-show/late cancel (NSLC) if they do not appear Please retain your cashed check Lexington, as your receipt Lincoln, or confirmation Medford, Newton, the number contractor s Waltham, from your dispatcher. Watertown, Weston, These requests within Winchester cannot 5 minutes and be guaranteed, but it may be A Personal Care Assistant (PCA) accompanying a registered user after the scheduled pick-up time or do not cancel with at least one Woburn. is not charged The West a phone/internet transaction for your records. You can Area determine also includes possible your account small to provide portions balance the of service Billerica at hour s that a premium are notice within non-ada to ¾ fare rate. fare. One other person may travel as a guest. Additional guests contractor. No-show/late cancellations are considered a pattern or miles are allowed of MBTA if space via your RIDE contractor s website, your RIDE reservationist, bus service. or by calling the MBTA s practice when a customer reserves 7 or more trips within any month and no-shows or Call 800-533-6282 or email theride@mbta.com is available. PCAs and to guests request must Office this travel for document to and from Transportation in the same destination at the Access. VTS THE also RIDE serves fare trips is debited to/from from the your border account communities as you same time as the registered user. of Chelsea, late Everett, cancels Malden, 20 percent or more of those scheduled trips, or if there are more than 7 alternate formats (Braille, audio, electronic) or other languages. board the Information vehicle. You are not charged Melrose, for Needham, a trip you Reading, don t take. Stoneham, Wilmington, and Wellesley no-shows as long or as late one cancellations in a month. A pattern or practice of no-show or late in this guide is subject to change. end of the trip is located within one of the non-core area communities cancellation listed above. trips is a policy violation and will result in written notification and possible suspension. Page 7 7/1/14 R6.0 Page 6 7/1/14 R6.0 Page 5 7/1/14 R6.0 Page 4 7/1/14 R6.0 Page 1 Page 7/1/143 R6.0 7/1/14 R6.0 Page 2 7/1/14 R6.0 Trip scheduling/dispatch: Call contractors at: Compliments/complaints check out contact information for Appropriate your RCC at: behavior on THE RIDE Greater Lynn Senior Services GLSS North Area If you are delayed at an appointment, call your contractor and ask to be put on willcall status. beyond When a customer s you are ready, call to arrange a new pick-up time For for everyone s you. This safety and comfort, show respect to your fellow passengers, http://www.massdot.state.ma.us/transit/statewidemobilitymanagement/regionalcoordi The Office for Transportation Access 888-319-7433 welcomes your(voice, feedback. toll-free) All complaints or 800-621-0420 will be (TTY, toll-free) No shows or late cancellations for reasons investigated and responded to within 10 Veterans drivers natingcouncilsrccs/rccregionsandcontacts.aspx. control such as calendar Transportation days. Complaint Services THE information RIDE VTS is West Service Area Area Map reported to your contractor, or trips will which trigger are missed the premium due to non-ada operator fare. error, shall not be and the vehicles you use. Inappropriate or illegal behavior will not be shared with the Access Advisory Committee 877-765-7433 tolerated and to the MBTA, (voice, unless toll-free), otherwise or 888-553-8294 requested (TTY, toll-free) a basis for determining that a pattern or practice exists resulting in a violation. will be subject to consequences such as service suspension and/or police Keep your profile current when you file your complaint. Contact National us: Express - NE South Area There are many changes to schedules due to traffic problems, customer investigation. delays, and 888-920-7433 (voice, toll-free), or 888-607-7577 (TTY, toll-free) The following actions shall apply weather. to violations Dispatchers that occur monitor within the and Please same adjust contact 12 vehicles month us with to try changes to keep schedules to your All passengers, information, running on including such as: ambulatory or wheelchair/scooter users, must wear a seatbelt. Email: theride@mbta.com Or write to: rolling period: time. Dispatchers interact with customers, Change drivers, in mobility and status, MBTA such RIDE as staff using to a walker to using a wheelchair, Do not stand while the vehicle 800-533-6282 or is in motion. (in-state toll-free) Emergency: Call MBTA MBTA OTA,THE Police at RIDE 617-222-1212 (voice), 617-222-1200 (TTY). 1 st Violation troubleshoot problems. Written Warning If you require acquisition assistance, of a please service call animal your contractor as soon as possible. You will not be left Smoking is not allowed, including 617-222-5123 electronic cigarettes. (voice) Ten Park Plaza 5750 2 nd Violation 1 Week Period stranded. Change of phone number, address, email, emergency contact, legal name change. Animals (i.e. comfort animals 617-222-5415 or pets which may (TTY) cause allergic For reactions information to others) Boston, on accessible MA 02116services including the MBTA's Fixed Route T Access 3 rd Violation 2 Week Period Family members are urged to call us if a customer is deceased so we may Subscription service are not allowed, with the exception of Service Animals. Service Guide, Animals application will only and be information on Reduced Fare passes, Elevator/Escalator 4 th or Subsequent Violations 6 Week Period inactivate the customer profile and arrange for any refunds from their RIDE fare transported at the feet of their owners and are not allowed on updates, a seat. visit: www.mbta.com/riding_the_t/accessible_services/ or call 800-392-6100 account. Legal documentation may be requested in some cases. The MBTA will not tolerate any retaliation or intimidation to a customer for filing a Subscription service is for RIDE customers who make a reservation Consumption to and from the of food and/or beverages is prohibited, unless required (toll-free) for or dietary 617-222-3200 (voice, Relay) complaint or concern of any nature. If you feel you have been subjected to these Information on how to appeal the same suspension, locations either for three written or more in-person, days per will week. be Call your contractor and/or to request medical thatpurposes and client has advised the driver. Email: theride@mbta.com or write: actions, we urge you to contact OTA or the Access Advisory Committee to the MBTA included in notification to customers. these Appeals trips be automatically must be postmarked scheduled, within which 14 calendar eliminates the need to No MBTA-RIDE call tipping individually or other Ten for Park gratuities Plaza- are 5750 allowed. Boston, MA immediately. For information on signing up for System Orientation Training or to learn more days of the date on which the notice each of trip. suspension Subscription was service issued. is 02116, subject or to call: availability. 800-533-6282 This service (in-state Personal is toll-free): not provided audio 617-222-5123, devices on may 617-222-5415 only be used TTY with headphones. about accessible fixed route buses and trains, call 617-222-5237(voice, Relay) or email holidays; therefore you are responsible for reserving your trips on those Customers days. may ask that the AM/FM radios installed on RIDE sysorientationtrain@mbta.com vehicles be turned off,. Driver assistance on, or volume adjusted, as they Access prefer. Advisory Committee to the MBTA (AACT) No suspension will take place if a customer has filed an appeal in accordance with the More travel options for RIDE customers Please note that personal hygiene and the use of perfumes can be objectionable to instructions and deadlines noted in the policy and the Appeals Board All has drivers not have received sensitivity others and or safety cause training. allergic reactions. For transit and travel updates: Visit www.mbta.com or contact Customer Service at determined the outcome of the appeal. The decision of the Appeals The Access Advisory Committee 800-392-6100 to the MBTA is (toll-free), a consumer 617-222-3200 body composed (voice) of Drivers Board will is final. ask you to state your For name the at safety pick-up of all to ensure our customers, they or 617-222-5146 (TTY). Registered RIDE users are eligible to use paratransit services in other areas in and out persons are drivers picking with are disabilities, up the prohibited RIDE from customers, using personal advocates cell and representatives of disability of Massachusetts. The Americans correct with Disabilities customer. Act (ADA) federal phones regulations or any allow other personal advocacy electronic groups devices and while agencies providing who RIDE advise service. and make recommendations to the MBTA Prior to sending suspension letters, for travel the MBTA as a visitor will review in other all NSLCs areas For for to ensure 21 wheelchair days that in a or the 12-month scooter users, period. When the The driver Office you will are for offer using the your optional personal regarding use mobile of an accessible MBTAsupplied Any device respect transportation. others around AACT you members and and other interested persons process was followed properly and Transportation an accurate Access, count is OTA, represented. can provide proof NSLC body of that belt your immediately MBTA ADA upon Paratransit avoid greeting shouting, you. etc. meet publicly each month. For more information or meeting schedules, call 617-973- is found to be in error will be removed. Eligibility upon request. Provide this Driver to the will visiting assist agency customers in order door-to-door to use their to and from the vehicle, 7507(voice), but is not allowed 617-973-7089(TTY), email aact@ctps.org, or visit their website at: program. If travel will exceed 21 days beyond to a the particular main door area, or you lobby may area need of to buildings. apply for http://www.mbta.com/riding_the_t/accessible_services/default.asp?id=26302. On the day of your trip certification through that agency. Driver will assist individuals in Other manual tips wheelchairs over one curb and/or step, but may not carry an individual or their mobility devices. Contact us Be ready to travel 5 minutes before your scheduled pick-up and be A prepared driver will to collapse wait up and securely Tell store your an driver ambulatory as soon customer s as possible manual if you would like to use the lift if you have to 15 minutes after that time. Carry For needed services medications, in other Regional oxygen, Transit etc. wheelchair, in Authorities case you walker within or Massachusetts cane in the difficulty trunk please or stepping cargo call area. up into the vehicle. 617-973-7000(voice), 617-973-7306(TTY) General inquiries, or for fare or RIDE account questions: Contact the MBTA Office travel longer than expected. The driver will go to the door for you and The then driver or must visit will wait assist MassDOT customers Regional with Transit For boarding at: your safety and carry exiting a cell the phone vehicle, for Transportation that even has when been Access programmed at: with phone number for you for 5 minutes from the time http://www.massdot.state.ma.us/transit/regionaltransitauthorities.aspx. of the scheduled pick-up. If you accompanied are not at the by pickup location, the driver will obtain hours clearance of service, from the fares dispatcher and policies to a PCA. Availability, for your RIDE contractors and Email: family theride@mbta.com, or friends. 800-533-6282 (in-state toll-free), 617-222-5123 (voice) leave The vary driver after within waiting will each fasten Regional 5 and unfasten Transit Authority Remember seatbelts(rta). THE as part RIDE of the is public vehicle s transportation, not a private service, and the MBTA minutes. Please do not leave your For pick-up information location on possible to call before MBTA/RTA the wheelchair/scooter end transfers, of the 15contact securement OTA. system. 617-222-5415 (TTY) may change policies and still be ADA-compliant. Familiarize yourself with what the minute waiting period. All vehicles have a color-coded stripe to assist If you in locating or your a guest has packages, ADA the requires driver will and assist what with doesn t. a manageable If you are number not sure, contact www.fta.dot.gov/ada particular contractor; blue stripe-glss, In response green to stripe-ne Governor and Patrick s red stripe-vts. Executive of shopping Order bags 530, to the Regional door of Coordinating your or 1-800-446-4511(voice), destination. Assistance 1-800-877-8339(TTY). with Eligibility: up to three Call pieces THE RIDE Eligibility Center at 617-337-2727(voice, Relay). Councils (RCC) are forming in Massachusetts. of luggage per The person, Councils not provide to exceed If a at forum any 40 lbs. time, for each, open you will are be approached provided for by you someone and your who you are unsure is a RIDE If THE RIDE does not arrive by discussion, the end of unmet the 15-minute needs assessment, period, PCA. please decision Keep call your making mind that about this regional is a driver, shared-ride transportation you may service ask and them space to confirm is limited. your Limit RIDE ID # or destination. contractor to assist you in locating priorities the vehicle and new orservices estimate designed its time heavy of to arrival provide or bulky (ETA). more items. transportation options for people Page 14 7/1/14 R6.0 Your RIDE is not considered late with until disabilities, 31 minutes the elderly, past your and scheduled low income pick-up individuals. time. If you would like more information about an RCC in your region and to join the stakeholder discussion, please Page 13 7/1/14 R6.0 To cancel or to change a trip location time, call your contractor. Changes, other Page 12 7/1/14 R6.0 than trip time negotiation, will trigger the premium non-ada fare. Page 11 7/1/14 R6.0 Page 10 7/1/14 R6.0 Page 9 7/1/14 R6.0 Page 8 7/1/14 R6.0 THE RIDE [John Doe], your Account ID Number for The Ride is: [123456] Your temporary service with The Ride will expire on: [Feb 1, 2015] Transportation will cost $3 each way To access services: 1. Schedule your interview To extend services beyond the expiration date you must go to an in-person interview in Charlestown. The Ride will provide complimentary transport to the interview. Call The Ride Eligibility Center at 617-337-2727, option 4 Monday Friday: 8 AM 5 PM 2. Add money to your account By phone: Call 888-844-0355, option 2 Monday Friday: 7 AM 8 PM Saturday Sunday: 9 AM 5 PM You will need your Ride ID number and a debit card or major credit card Funds post in 1 hour Online: http://commerce.mbta.com Funds post in 2 business days In person: CharlieCard Store at Downtown Crossing Station Monday Friday: 8 AM 5:30 PM Accessible entrance is in the 101 Arch Street building in Downtown Crossing Funds post in 1 hour 3. Book your transport Call [888-920-7433] 7 Days, Including Holidays: 8:30 AM 5 PM Trips must be scheduled no later than 5 PM the day before travel, and up to 14 days in advance. For questions about The Ride call 617-222-5123 The Guide to THE RIDE Service is the written resource available to applicants by the MBTA. It is intended for all possible users, providing more information than any one user ever needs, and does not include important userspecific information such as their Rider ID number. This is a supplement to the existing written resource. After receiving application approval, the nurse fills in the template, mails it to the patient, and reviews the information over the phone. Xiomara Guerra xiolisa@gmail.com 12
13 Slabyrinth A DESKTOP MEDITATIVE STIMULATOR THAT HARKENS TO THE STRENGTH AND ENDURANCE OF NATURE Created as a personalized gift, this mini labyrinth was inspired by the ancient practice of labyrinth walking for prayer and meditation. The use of reclaimed granite with raw edges evokes the use of stone in labyrinths that have lasted over centuries. The decisively cold feel awakens the senses, and the act of creating new patterns with the rubber bands is a meditative process in itself. The recipient of the gift is a labyrinth enthusiast (unbeknown to the designer) and was thrilled to have a labyrinth to call her own. Xiomara Guerra xiolisa@gmail.com
Xiomara Guerra xiolisa@gmail.com 14
15 Comfort Crochet A NEW KIND OF TOOL THAT IMPROVES ACCESSIBILITY TO CROCHET Some people experience hand pain when crocheting and others are not able crochet at all due to hand stiffness, weakness, or discomfort. This may be caused by arthritis, stroke, or simply holding the yarn too tight. Many people are less able to engage in a therapeutic craft they once loved. Crochet requires a sustained pinch grip of the left hand, the most common hand used for holding the yarn. The Occupational Safety and Health Administration identifies the prolonged use of pinch grip as a potential hazard. Xiomara Guerra xiolisa@gmail.com
EXISTING SOLUTIONS DO NOT ADDRESS THE ROOT CAUSE Existing products do not eliminate the pinch grip. Solutions focus on guiding yarn, apply compression for arthritis pain, or provide ergonomic crochet hooks used by the opposite hand. Xiomara Guerra xiolisa@gmail.com 16
COMFORT CROCHET EASES STRAIN ON THE YARN-HOLDING HAND Typically the left hand will hold yarn with a pinch grip for the duration of crocheting. Comfort Crochet relaxes the position of the hand. Xiomara Guerra xiolisa@gmail.com 17
Tested by people of varying ages, levels of crochet experience, and hand dexterity over several iteration cycles. Xiomara Guerra xiolisa@gmail.com 18
Latches onto hand to ease grip and easily slides off Holds the yarn at a constant tension and angle Ample space to move crochet hook Rigid platform provides counter pressure to hook Groove for moving fabric along with thumb Injection molded rigid polymer and polyurethane foam Foam handle is has a smooth finish to reduce friction Xiomara Guerra xiolisa@gmail.com 19
20 Animate Masks IMAGINE, CREATE, AND PLAY Animate is a children s product made locally, from a natural material one as short-lived and awesome as childhood. Despite their fast turnover, many popular toys seem to overlook the product s full life cycle. Paper is warm, inviting, and easy to work with, and both recyclable and biodegradable. Mass production via locally run die cut services. Xiomara Guerra xiolisa@gmail.com
INSPIRES CREATIVE EXPRESSION AND INTERACTIVE PLAY DIY PROJECTS WITH THE EASE AND CONVENIENCE OF OFF-THE-SHELF MASKS DIY METHOD Encourages creativity Uses recycled materials Investment of time and energy including set up and clean up READY MADE MASKS Fast and convenient Little to no customization Typically nonrecyclable & nonbiodegradable foam Xiomara Guerra xiolisa@gmail.com 21
COLOR IT IN, POP IT OUT, & ASSEMBLE! NO NEED FOR GLUE OR SCISSORS Choose your ears and the shape of your nose, maybe add whiskers, fold, curl, tear, or crease to add details the possibilities are as endless as your imagination! Create even more possibilities by adding scissors, glue, and maybe some help. Ages 5 and up. 5 mask kits per package. Made in NYC. Recyclable and biodegradable. Xiomara Guerra xiolisa@gmail.com 22
ANIMATE IS A COMPACT ACTIVITY THAT IS EASY TO SET UP AND CLEAN UP PERFECT FOR THE URBAN FAMILY Xiomara Guerra xiolisa@gmail.com 23