Tocci Building Companies

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MARLBOROUGH HOSPITAL CANCER PAVILION

Tocci Building Companies660 Main StreetWoburn, MA 01801

Marlborough Hospital Cancer PavilionMarlborough, MA

The Marlborough Hospital Cancer Pavilion (MHCP) is a

14,538 square-foot project with a new cancer treatment wing

and a 2,000 square-foot renovation. The project centers on

a state of the art Linear Accelerator for radiation oncology,

a CT Simulator for diagnostic imaging, and ten chairs for

infusion oncology. Tocci, The S/L/A/M Collaborative, and

Marlborough Hospital, along with key consultants and

subcontractors, delivered the project under a full IPD contract.

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A cancer diagnosis is traumatic. Coping with that reality alone is daunting. For those who go through treatment, as well as their families and loved ones, there is much more to deal with than being ill. It is the stress of rearranging busy lives for lengthy chemotherapy treatments or frequent visits for radiation. Long drives in traffic, parking hassles, waiting as the treatment is prepared and given, and an exhausting drive home. This is what takes over the life of an individual with cancer.

No more.

In 2013, a new Malborough Hospital Cancer Pavilion opened. The state-of-the-art facility is part of the UMass Memorial Health Care Cancer Center of Excellence and combines the skills and knowledge of multidisciplinary teams of cancer specialist and an accredited cancer program – all in one location.A nearly14,000 square-foot addition on the north side of the hospital will house cancer care services including medical oncology, radiation oncology, exam space and a healing garden. Currently, medical oncology is located on the second floor of the hospital’s 1952 building while radiation oncology is only available off site. The new pavilion will bring all cancer services together under one roof with dedicated patient entrance and parking.

The new Cancer Pavilion makes possible a team approach to

cancer care by providing: � A spacious medical oncology area with eight open

chemotherapy infusion bays and two private infusion rooms

� The most sophisticated linear accelerator technology available with Varian TrueBeam radiation and CT Simulation for optimal radiation treatments

� Access to UMass Memorial/UMass Medical School clinical trials

� Comfortable exam rooms and offices

� An oncology center where experts share their knowledge for the best possible treatments and outcomes for patients

� Electronic medical records for efficient, shared consultation by all medical team members

� Open educational spaces where clinical experts discuss and present advanced prevention, care, research, and

Aspirations of Marlborough Hospital Cancer Pavilion

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treatment options to their colleagues and community � Compassionate and highly skilled oncologists, oncology

nurses, pharmacists, and support staff to care for patients and support family members

� A healing garden to reduce stress on patients, families, and caregivers by providing an area for respite and meditation

Designed to be constructed and maintained with environmentally friendly materials, the new Cancer Pavilion will be built according to the LEED-certification process (Leadership in Energy and Environmental Design).

The new Cancer Pavilion brings the most advanced technology available to cancer care. This includes TrueBeam radiation therapy, a fully integrated system that coordinates imaging, patient positioning, motion management and treatment to: � Provide more precise dosages � Increase patient safety and comfort � Tackle the most complex treatments, including

radiosurgery and moving tumors � Produce high quality/4D images with a 25 percent lower

radiation dose � Cut treatment time in half or more

Linear Accelerator

LINAC

The project centers on the state of the art LINAC. Tocci’s approach to the LINAC and vault is detailed on the following pages.

Code Clearance

Tocci added installation, maintenance and code clearance to objects ranging from VAV’s to windows -- facilitating construction and operations.

Verification

Using the BIM, Tocci and the electrictian verified cable tray requirements against the owner’s stock, reducing the new tray purchase by a third.

Laser Scan

Tocci used a laser scan of the building to coordinate new and relocated utilities.

Clash Detection

The hospital, Tocci, SLAM and key subcontractors are reaping the benefits of clash detection, BIM’s low hanging fruit.

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1/8" = 1'-0"1 1ST FLOOR CABLE TRAY DIAGRAM

Cable Tray ScheduleFamily Length IN STOCK?

Cable Tray with Fittings 25' - 0" IN STOCKCable Tray with Fittings 18' - 0" IN STOCKCable Tray with Fittings 19' - 0" IN STOCKCable Tray with Fittings 32' - 0" IN STOCKIN STOCK: 4 94' - 0"Cable Tray with Fittings 24' - 3" NEWCable Tray with Fittings 28' - 3" NEWCable Tray with Fittings 9' - 1 1/2" NEWCable Tray with Fittings 19' - 7" NEWCable Tray with Fittings 17' - 7" NEWCable Tray with Fittings 18' - 4" NEWCable Tray with Fittings 15' - 5" NEWCable Tray with Fittings 8' - 9" NEWCable Tray with Fittings 39' - 6" NEWCable Tray with Fittings 14' - 5" NEWCable Tray with Fittings 10' - 8" NEWCable Tray with Fittings 5' - 1 1/2" NEWCable Tray with Fittings 4' - 9" NEWNEW: 13 215' - 9"Grand total: 17 309' - 9"

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The project will provide new additional exam rooms, but the program centers on a state of the art Linear Accelerator (LINAC) for radiation oncology, a CT simulation for diagnostic imaging and 10 chairs for infusion oncology.

Tocci, S/L/A/M, and key subcontractors modeled the LINAC, it’s vault, and mechanical systems extensively.

Linear Accelerator

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The above photo shows the “blank slate” of the LINAC, before all of the equipment arrives. The sub-slab, 5’ below grade, supported the staging needed while the roof cured and will provide a clean smooth surface for underground installation.

LINAC Vault

Immediately before forming the 745 CY concrete LINAC vault, Tocci and S/L/A/M reviewed and finalized layout of access panels and pull boxes. While explaining conduit sweep radii to the Architect, Tocci pulled in the Electrician and HVAC foreman for their input on the layout. The team was able to use the model to optimize an item being built a few feet away.

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LINAC Installation

Tocci modeled the LINAC installation path to better understand how to sequence casework and finishes, as well as to conform the overall geometry of the corridors.

S/L/A/M designed the LINAC space with healing in mind. Murals and all visualizations being an element of nature, balanced by light wood and clean colors.

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660 Main StreetWoburn, MA 01801

t 781.935.5500f 781.935.1888

www.tocci.com

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