Patient Care Tower Entry/Lobby Surgery Expansion Learning...

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MEMORIAL MEDICAL CENTER SCHEMATIC DESIGN PROGRESS SET - BOARD PACKET | 06 SEPTEMBER 2012 Patient Care Tower | Entry/Lobby | Surgery Expansion | Learning Institute | Infrastructure

Transcript of Patient Care Tower Entry/Lobby Surgery Expansion Learning...

Page 1: Patient Care Tower Entry/Lobby Surgery Expansion Learning ...files.sj-r.com/media/news/12072012MMCexpansion.pdfAerial Rendering. 03 . Entry / Lobby. Site Plan. Floor Plan. 04. Surgery

MEMORIAL MEDICAL CENTER

SCHEMATIC DESIGN PROGRESS SET - BOARD PACKET | 06 SEPTEMBER 2012

Patient Care Tower | Entry/Lobby | Surgery Expansion | Learning Institute | Infrastructure

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Table of Contents

01 Executive Summary02 Campus Images

Project ScopeAerial Rendering

03 Entry / LobbySite PlanFloor Plan

04 Surgery ExpansionRenderingStacking DiagramPlans

05 Patient Care TowerRenderingStacking DiagramPlans3D Patient Room

06 Learning InstituteRenderingStacking DiagramPlans

07 InfrastructureOverview of Key Upgrades

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Executive SummaryPATIENT CARE TOWER

After considerable study, the best location for new patient beds was determined to be the Patient Care Tower of E Building. This building was built in the late 1980’s with a lower level, street level and second level. However, the building was designed at that time to add up to six (6) additional floors in the future. As time passed and codes changed, the current seismic requirements will only allow for three (3) additional patient floors to be constructed on top of E Building. The building has an odd shape, but through careful planning, it was determined that each floor can effectively accommodate 38 patient beds with all of the necessary support areas needed. The three floors provide a total of 114 new private patient rooms, bringing the new total number of private patient rooms to 294. The Hospital plans to remove beds from current semi-private rooms to get 100% private beds once all of the moves have been made. This new addition will be approximately 103,000 gross square feet (GSF) (34,335 per floor). The new Penthouse will be approximately 12,000 GSF (includes elevator and stair).

SURGERY EXPANSION

In order to accommodate the new operating rooms and support functions necessary to improve efficiencies, the Surgery Department needs to be expanded. With the current department surrounded on all sides by either the street, or other hospital functions, it was determined early that the Wedeberg Conference Center will need to be relocated. The current space in this building is not sufficient for the needed addition, so it will be demolished and a new larger, two story space will be built in its place. This new addition will be approximately 34,360 BGSF (17,730 GSF Level 1, 16,630 Level 2). The new Penthouse will be approximately 7,900 GSF (includes stair).

The new addition will house six (6) new operating rooms, with all of the needed pre and post operative holding rooms. The existing Surgery Suite will require some renovation including additional PACU beds, locker room expansion, and expansion of some support areas. One existing operating room will be taken out of service to facilitate the renovated areas. The Renovation Expansion in the Lower Level will be approximately 14,825 GSF (8,370 SF Support, 5,225 SF Locker/Lounge, 1,230 SF ORs).The results are that current operating rooms go from 18 in the Surgery Suite to 23. With the simultaneous improvements to the flow before and after surgery, the efficiency of the surgery suite is expected to improve significantly, resulting in many more cases per year.

FRONT-ENTRY AND LOBBY

The front entry of the existing hospital does not engage patients and visitors in a way that reflects the organization’s principles. Additionally, the existing car stacking arrangement is confusing, and crowded. Once one enters the main lobby, the finishes are dated, lighting is muted, and location of services are not clear.

The project includes a new canopy and re-organization of the driveway and landscape features at the main entry to the hospital to improve site circulation, and the front image of the hospital. Also included is a renovation of the existing main lobby to incorporate new finishes, a relocated and somewhat smaller gift shop, a coffee shop, a new greeter station, a relocated vestibule, a new revolving door and new seating areas.

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Executive SummaryINFRASTRUCTURE

As space is added to the Hospital, various aspects of infrastructure will need to be increased in capacity in order to support those additions. Simultaneously, it is identified that some of the systems needing increased capacities, are also reaching the end of their useful life, or otherwise ineffective or inefficient. Therefore, several strategies to improve the central energy plant for the Hospital and plan for future growth are included in the project. Some of these strategies and improvements are identified herein. To accommodate the improvements and growth in the infrastructure, a central utility plant two story addition of approximately 4,500 GSF is anticipated (2,250 GSF per level).Overall, one main goal for the project is to maintain current energy use levels, while adding the square footage required for the project. This will be a significant challenge, but the team has identified several strategies which, if implemented, can move the hospital close to succeeding in this endeavor.

LEARNING INSTITUTE

With the demolition of the existing Wedeberg Conference Center, a new place needed to be identified for that function. Simultaneously, the space currently occupied by the surgical skills laboratory was identified as needed space for the Surgery Renovation. Since that function needed to move, a decision was made to combine all simulation aspects of the Hospital, with the Conference Center into a single new building. After studying multiple locations for the building, taking into account parking considerations, adjacency and ease of access from the hospital, and good space utilization practices, the property to the south of Miller Street was identified as the best location for this function. The Hospital currently owns the property which is used as a surface parking lot. The new facility will be approximately 50,000 gross square feet (GSF) and will connect to the existing parking facility on the north side of Miller Street through the use of a connector bridge. Parking for this facility was studied in depth, and we believe the required number of parking spaces for the campus will not exceed the current level of parking existing. However, the addition of this building and the parking spaces displaced by the building will likely cause stress on the current parking situation, requiring patients and staff to park farther away from the hospital. Therefore, new surface lots are planned nearby, and the new garage at Springfield Clinic First North is being redesigned to support an additional 100 spaces. The costs of these two projects are outside of this project budget.

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Q2 Q3 Q4

2012 2013 2014 2015

Q1 Q2Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q3Q4 Q4

Project Schedules

LEARNING INSTITUTE

SCHEMATIC DESIGN: 02 Jul 2012 – 24 Sep 2012DESIGN DEVELOPMENT: 25 Sep 2012 – 14 Jan 2013CONSTRUCTION DOCUMENTS: 15 Jan 2013 – 15 Apr 2013BIDDING: 16 Apr 2013 – 13 May 2013CONSTRUCTION: 12 Jun 2013 – 18 Jul 2014

SURGERY EXPANSION

SCHEMATIC DESIGN: 02 Jul 2012 – 24 Sep 2012DESIGN DEVELOPMENT: 25 Sep 2012 – 28 Jan 2013CONSTRUCTION DOCUMENTS: 29 Jan 2013 – 20 May 2013BIDDING: 21 May 2013 – 02 Jul 2013CONSTRUCTION: 18 Jul 2013 – 12 Nov 2014

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Q2 Q3 Q4

2012 2013 2014 2015

Q1 Q2Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q3Q4 Q4

INFRASTRUCTURE

SCHEMATIC DESIGN: 02 Jul 2012 – 24 Sep 2012DESIGN DEVELOPMENT: 25 Sep 2012 – 21 Dec 2012CONSTRUCTION DOCUMENTS: 24 Dec 2012 – 18 Mar 2013BIDDING: 19 Mar 2013 – 11 Jun 2013CONSTRUCTION: 12 Jun 2013 – 01 Jun 2015

PATIENT CARE TOWER (INCLUDING LOBBY/ENTRY)

SCHEMATIC DESIGN: 04 Jun 2012 – 24 Sep 2012DESIGN DEVELOPMENT: 25 Sep 2012 – 25 Feb 2013CONSTRUCTION DOCUMENTS: 26 Feb 2013 – 16 Sep 2013BIDDING: 17 Sep 2013 – 11 Nov 2013CONSTRUCTION: 12 Nov 2013 – 01 Dec 2015

Project Schedules

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INFRASTRUCTURE

PATIENT CARE TOWER

SURGERY EXPANSIONENTRY/LOBBYLEARNING INSTITUTE

Project Scope

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Aerial Rendering

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Entry/Lobby - Site Plan

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Entry/Lobby - Floor Plans

DNUP

COFFEEBAR

LOUNGE

WAITING /LOUNGE

GREETER

EXIST.STAIR

LOBBY

LOBBY

ELEV. EXIST. ELEV.EXIST. ELEV.

VESTIBULE VESTIBULEPICKUPWAITING

WHEELCHAIRS& STORAGE

STAIR

ELEV.LOBBY

GIFT SHOP

CORRIDORCORRIDOR

EXIST.STAIR

WAITING/LOUNGE

RESOURCECENTER

CAFE

PICKUPWAITING

MEN'S

WOMEN'S

GIFT SHOP

STAFFLOUNGE

STAFFLOUNGE

S. TLT.

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/27/12

1st Floor Lobby Option 1MEMORIAL MEDICAL CENTER/ PATIENT CARE TOWER

1/32" = 1'0"1 FIRST FLOOR PLAN

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Surgery Expansion

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Surgery Expansion - Images

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Surgery Expansion - Building Section

OR EXPANSION SURGERY OR | RENOVATION

PRE/POST EXPANSION LOBBY

IMC

ORTHOPEDICS

CARDIOLOGY

PENTHOUSE

ONCOLOGYPENTHOUSE

SURGERY EXPANSION E BUILDING PATIENT CARE TOWER

LOWER LEVEL: 88’-0”

FIRST LEVEL: 101’-0”

ROOF NEW: 114’-6”

ROOF LEVEL: 192’-3”

7.5 LEVEL: 175’-3”

SIXTH LEVEL: 159’-0”

4.5 LEVEL: 136’-0”

THIRD LEVEL: 124’-6”SECOND LEVEL: 113’-0”

LOBBY: 101’-0”

OR EXPANSION: 88’-0”

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Surgery Expansion - First Level Plan

STRETCHER

STRETCHER

P-TUBE

CRASHCART

266 SFSTAIR

109 SF

PRE/POSTOP

107 SFELEC

299 SFSTAIR

128 SF

PRE/POSTOP

122 SF

PRE/POSTOP

130 SFISO

287 SFELEVATOR

121 SF

PRE/POSTOP

120 SFISO

48 SFANTE

53 SFP. TLT.

33 SFANTE

64 SFNOURISH

127 SFISO

33 SFANTE

53 SFP. TLT.

83 SF

MGR.OFFICE

108 SF

PRE/POSTOP

56 SFS. TLT.55 SF

P. TLT.

185 SF

EQUIP.STOR.

156 SFCLEAN

53 SFP. TLT.

53 SFP. TLT.

53 SFP. TLT.

53 SFP. TLT. 225 SF

SOILEDUTILITY

81 SFJAN.

73 SFMEDSALCOVE

527 SF

STAFFLOUNGE

131 SFDATA

490 SF

NURSESTATION

123 SFCONSULT

82 SFCONSULT

81 SFCONSULT

PASSAGE

167 SFRECEPTION

2448 SFWAITING

230 SF

NURSESTATION

53 SFP. TLT.

53 SFP. TLT.

53 SFP. TLT.

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/28/12

FIRST LEVEL PLANMEMORIAL MEDICAL CENTER/ SURGERY ADDITION AND REVNOVATION

1/32" = 1'-0"1 SA_FIRST FLOOR SCHEMATIC DESIGN PLAN_1_32

LOBBY

Mi l l e

r S

tr

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t

EXISTING SIDEWALK

PROPOSED NEW SIDEWALK

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Surgery Expansion - Lower Level Plan

DNUP

UP

269 SFSTAIR

287 SFELEVATOR

101 SF

SOILEDUTILITY

130 SFDATA

108 SFELECTRIC

217 SFSTAIR

752 SFOR ROBOT

755 SFOR ROBOT

608 SFOR

608 SFOR

58 SFANTE

58 SFANTE

29 SFANTE

32 SFANTE

67 SFP. TLT.

126 SF

CLEANUTILITY

61 SFS. TLT.

53 SFS. TLT.

48 SFS. TLT.

272 SFLOUNGE

487 SF

EQUIPMENTSTORAGE

462 SF

EQUIPMENTSTORAGE

206 SF

SUB-STERILE

206 SF

SUB-STERILE

100 SFDICT.

140 SF

EQUIP.STORAGE

107 SF

MGR.OFFICE

165 SF

MEDS/NOUR. 294 SF

NURSESTATION

299 SFNURSE

158 SFJAN.

175 SFSTAIR

340 SFIP HOLD

137 SF

CASECARTS

280 SF

PROCEDURECARTS

180 SFN.S.

388 SF

ANES.WORK

271 SF

CLEANROOM

NON-STERILE766 SF

STERILESUPPLY

213 SFSUB-STERILE

95 SFOFFICE

127 SFOFFICE

263 SFPHARMACY

266 SF

ANES.LOUNGE

1134 SF

BEDS/POSITIONINGDEVICES/MICROSCOPES

626 SFOR

637 SFOR

388 SFSOILED

109 SFMECH.

105 SF

COVERGOWNS/

LINEN

386 SF

EXIST.CYSTO

470 SFEXIST. OR 3

473 SFEXIST. OR 4

464 SF

EXIST. OR18

484 SF

EXIST. OR17

879 SF

EXIST.LOGISTICS

556 SF

EXIST.EQUIP.STOR.

395 SF

EXIST. OR16CRASH

CART

CRASHCART

GEM

C-ARM

1

2

3

4

5

6

7 8 910

11 12 13 1415

16 17

20 19 18

21

22

23

1178 SF

EXITPASSAGE

PACU

PACU

PACU

ISO

PACU

ISO

ISO

ISO

ELEVATORLOBBY

EXISTMECHANICAL

EXISTINGMECHANICAL

EXIST.TELEPHONE

EQUIP.

149 SFSCRUBS

108 SFSCRUBS

1268 SF

MALELOCKERS

1238 SF

FEMALELOCKERS

552 SF

STAFFLOUNGE

469 SF

PHYSICIANLOUNGE

PASSAGE

120

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/21/12

LOWER LEVEL PLANMEMORIAL MEDICAL CENTER/ SURGERY ADDITION AND REVNOVATION

1/32" = 1'-0"1 SA_ LOWER LEVEL SCHEMATIC DESIGN PLAN_1_32

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Patient Care Tower

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Patient Care Tower - Images

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Patient Care Tower - Stacking Diagram

LOBBY / CANCER CENTER

ONCOLOGY

MED / SURG

ORTHO

PSYCH (SECURE UNIT)

CARDIOLOGY

OB

ADMIN

IMC

ORTHO

CARDIOLOGY

PENTHOUSE

FIRST LEVEL: 101’-0”

SECOND LEVEL: 113’-0”

THIRD LEVEL: 124’-6”

4.5 LEVEL: 141’-9”FIFTH LEVEL: 147’-6”

SIXTH LEVEL: 159’-0”

SEVENTH LEVEL: 170’-6”

EIGHTH LEVEL: 182’-0”

FOURTH LEVEL: 136’-0”

PENTHOUSE LEVEL: 174’-0”

ROOF LEVEL: 189’-0”

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Patient Care Tower - Typical Floor PlanUP

UP

DN

ROUNDS /COLLAB.

PATIENTROOM 1

PATIENTROOM 13

PATIENTROOM 14

(LIFT)

PATIENTROOM 15

PATIENTROOM 16

PATIENTROOM 17

PATIENTROOM 18

PATIENTROOM 19

ANTE

PATIENTROOM 20

(LIFT)

PATIENTROOM 21

PATIENTROOM 22

PATIENTROOM 23

PATIENTROOM 25

(LIFT)

PATIENTROOM 24

PATIENTROOM 38

(LIFT)

PATIENTROOM 37

PATIENTROOM 36

PATIENTROOM 35

PATIENTROOM 34

(LIFT) (EEGCAM. RM.)

PATIENTROOM 33

(EEG CAM.RM.)

PATIENTROOM 32

PATIENTROOM 31

PATIENTROOM 29

PATIENTROOM 28

PATIENTROOM 27

PATIENTROOM 26

STAFFLOUNGE

STAFFTOILET

BUSINESSCENTER

PATIENTROOM 12

(LIFT)

PATIENTROOM 11

PATIENTROOM 10

(LIFT)

PATIENTROOM 9

UNASSIGNED

STAFFTOILET

EQUIP

CLEAN

ELEC.

I.T. HOUSEKEEPING MANAGER

MEDS.

NOURISH. /ICE MULTI

DISCIPLINARYWORKROOM

CLEAN

ELEC

I.T.

MEDS.

NOURISH. /ICE

EQUIP

PUBLICTOILET

CONSULT

ROUNDS /COLLABORATION

STAFFTOILET

SOILEDWORKROOM

CLASSROOM

UNASSIGNED

PATIENTROOM 30

(LIFT)

ROUNDS /COLLABORATION

ROUNDS /COLLAB.

FAMILY

ROUNDS /COLLABORATION

ROUNDS /COLLABORATION

CLASSROOM

OFFICE

CLASSROOM

EMERG.EQUIP.

PATIENTROOM 2

PATIENTROOM 3(LIFT)

PATIENTROOM 4

PATIENTROOM 5

PATIENTROOM 6

FAMILY

PATIENTROOM 8

?

EEG OFFICE

CONSULT

PUBLICTOILET

CONFERENCE/ MULTI

PURPOSE

SOILEDWORKROOM 02 STOR. RESP.

THERAPY

EMERGENCYEQUIPMENT

ELEC.

CHARGENURSE

RECEPTION/ UNIT

SECRETARY

LOCKERS

FAMILY

ELEC.

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/21/2012

3rd LEVEL IMCMEMORIAL MEDICAL CENTER/ PATIENT CARE TOWER

0' 16' 32' 64'

SCALE: 1/32" = 1'0"

3rd FLOOR PLAN1/32" = 1'0"

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Patient Care Tower - 3D Patient Room Study

FAMILY ZONE

PATIENT ZONE

CAREGIVER ZONE

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Learning Institute

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Learning Institute - Images

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Learning Institute - Stacking Diagram

CONFERENCE CENTER

LEARNING Institute

SIMULATION CENTER & SURG. SKILLS LAB

BRIDGE

LOWER

FIRST

SECOND

THIRD

LEARNING INSTITUTE BRIDGE PHYSICIANS GARAGE

FIRST LEVEL: 592.5’

SECOND LEVEL: 613.83’

THIRD LEVEL: 627.83’

ROOF LEVEL: 641.83’

LOWER LEVEL: 591.5’

FIRST LEVEL: 602.83’

SECOND LEVEL: 614.17’

THIRD LEVEL: 625.5’

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Learning Institute - Level One Plan

UP

UP

DN

4178 SF

LARGELECTURE

182 SFSTOR

192 SFSTAIR

666 SFMEP

825 SF

SMALLCONFERENCE

242 SFELEVATORS

287 SFSTAIR

228 SFKITCHEN

134 SF

OFFICE/WORK

1739 SFLOBBY

428 SF

SERVICECORRIDOR

229 SFSERVING

780 SFCAFE

128 SFWORK

88 SFELEC.

88 SFTELE.

336 SFCATERING

674 SFSTORAGE

90 SFJAN

459 SF

BUSINESSCENTER

739 SF

PRE-FUNCTION/GATHERING

110 SFHUDDLE

120

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/29/2012

MMC/ LEARNING INSTITUTELEVEL ONE

1/16" = 1'-0"1 FIRST FLOOR COLOR PLANSCALE: 1/16" = 1'-0"

0' 8' 16' 32'

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Learning Institute - Level Two Plan

DN

UP

UP

DN

UP

1364 SFCLASSROOM

??

1764 SF

INFORMALCLASSROOM

322 SFSTAIR

412 SFCOMPUTER

91 SFTELE.

99 SFSTORAGE

91 SFELEC.

1120 SF

FORMALCLASSROOM

1099 SFCLASSROOM

149 SFOFFICE

124 SFOFFICE

124 SFOFFICE

1816 SFOPEN WORK

76 SFJAN.

242 SFCONFERENCE

228 SF

STAFFBREAK

321 SFOPEN CONF.

1

2

3

4

5

6

710

9 814

13

12

15

1116

17

18

125 SFCOPY/PRINT

332 SFCOMPUTER

837 SFCLASSROOM

81 SFSTORAGE

1196 SFLOBBY

PEDESTRIANBRIDGE TO

EXISTING GARAGE

120

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/29/12

MMC/ LEARNING INSTITUTELEVEL TWO

1/16" = 1'-0"1 SECOND FLOOR COLOR PLANSCALE: 1/16" = 1'-0"

0' 8' 16' 32'

Page 26: Patient Care Tower Entry/Lobby Surgery Expansion Learning ...files.sj-r.com/media/news/12072012MMCexpansion.pdfAerial Rendering. 03 . Entry / Lobby. Site Plan. Floor Plan. 04. Surgery

Learning Institute - Level Three Plan

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230 SFPREP

287 SFSTAIR

129 SFOFFICE

607 SFOPEN WORK

859 SFCLASSROOM

162 SFDEBRIEF

165 SFCLINIC

165 SFED/TRAUMA

158 SFN.S.

320 SFMED SURGE

356 SFICU

443 SFOR

481 SFED

634 SF

SHAREDCONTROL

517 SF

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391 SFSTORAGE

100 SFHOLD

91 SFELEC.

91 SFTELE.

76 SFJAN.

263 SFDEBRIEF

129 SFOFFICE

487 SFSTORAGE

119 SFMOULAGE

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PATIENT CARE TOWER | SURGERY EXPANSION | INFRASTRUCTURE | LEARNING INSTITUTE

08/29/2012

MMC/ LEARNING INSTITUTELEVEL THREE

SCALE: 1/16" = 1'-0"

0' 8' 16' 32'

1/16" = 1'-0"1 THIRD FLOOR COLOR PLAN

Page 27: Patient Care Tower Entry/Lobby Surgery Expansion Learning ...files.sj-r.com/media/news/12072012MMCexpansion.pdfAerial Rendering. 03 . Entry / Lobby. Site Plan. Floor Plan. 04. Surgery

Infrastructure

Page 28: Patient Care Tower Entry/Lobby Surgery Expansion Learning ...files.sj-r.com/media/news/12072012MMCexpansion.pdfAerial Rendering. 03 . Entry / Lobby. Site Plan. Floor Plan. 04. Surgery

Infrastructure - Overview of Key Upgrades

» High efficiency heating hot water boilers and heat recovery chillers

» VFD chiller, variable primary pumping, and VFD tower fans

» Tower sump as a storage sump only

» Relocation and repair of bulk oxygen site

» Centralized, redundant emergency power system

In addition to creating capacity to serve expansion, improvements include:

» Consolidation of electrical utility services

» Partial chilled water on emergency power

» Additional fuel oil storage

» Summer boilers for low seasonal loads