At Hughes Spalding, our recent renovation included converting five existing exam rooms into four right-sized rooms and the addition of one ligature toilet. Specifically designed to accommodate emergency department room standards, in addition to ligature standards of care and safety, including holding room requirements, specific to behavioral health patients. The exam rooms each have a security safety door that pulls down, when needed, to mitigate the risk of patients harming themselves, staff and the facility. This door prevents access to the headwall, sink, wall-mounted computer, med-gas, outlets and other ligature risks. The exam rooms feature a chalk board for a positive distraction. Locating the behavioral health rooms adjacent to each other helps with staffing needs. TVS is designing a similar renovation at the Egleston campus as well.