BUILDING DESIGN
The digestive endoscopy department, preparation and awakening room.
to comply with health and safety requirements while also introducing innovations to minimise structural inflexibility (limited to the four corners) and to optimise flexibility in space distribution. The large windows and transparent envelope open up the building to the outside, letting patients remain connected to the external world. This also allows plenty of natural light to reach right into the heart of the building, making it a more pleasant space for patients and those who work there. Technology and furnishings have been
carefully integrated, creating harmonious internal partitions that, following careful research, are both aesthetically pleasing and practical. The building embodies ‘humanisation’ by combining true clarity of layout and functional distribution with
Table 1: A project overview.
Fourth floor Oncology, clinics, day hospital and antiblastic centre Third floor
Medical oncology, inpatients and clinics
Second floor Haematology, day hospital, ordinary and low bioburden inpatients First floor
Surgical oncology, inpatients and clinics
Ground floor Entrance, gastroenterology and digestive endoscopy Basement level Meeting rooms, general services, logistics and installations Cost of construction
Cost of technological equipment Surfaces
Fourth floor Third floor
Second floor First floor
Ground floor
Basement level Total area
Volume
Electrical capacity Heating load Cooling load Beds
Employees (doctors, nurses, technicians, support staff) IFHE DIGEST 2018
€35.000.000 €6.300.000 2770 m2
2770 m2 2770 m2 2850 m2 2650 m2 2045 m2 15,855 m2
71,347.50 m3 800 kVA
1,697.33 kW 2,211.65 kW 125
200
excellent architectural quality and attention to detail. It is a complex made for people, helping everyone who enters to feel more at ease. The building was designed to have an active role in the process of treating and caring for a patient.
Layout CORE is integrated with the existing hospital; this is particularly evident in the internal roads and pathways that lead to the emergency facilities, the basement level logistics pathways and the ground floor corridors for the public. The latter are served by lifts for visitors that face on one side onto the entrance foyer and on the other the distribution hub on the floor above. The underlying concept for distribution is to suitably divide the various flows such
that each pathway has a specific function. Vehicle access is linked to the new internal road system for accident and emergency (A&E). The ambulance bay is on the north side, allowing access for cancer patients who are unable to reach the centre autonomously from the exterior parking lot. There is a single corridor for critical patients and those who are stretchered in. The latter then links seamlessly to the rest of the hospital. The main pedestrian entrance is on the
east side, which is accessible from a parking lot and leads directly into a foyer with a reception desk. On the upper floors, the north side is once again the starting point for the circular layout that underlies the distribution of rooms off the double, parallel corridor structure. Finally, the service lifts for moving clean and dirty items between service areas are on the south side (with areas for washing and disinfecting endoscopes on the ground floor, storage spaces in patient wards on the middle floors and the chemotherapy pharmacy on the top floor). The internal distribution of each floor was designed to optimise space and relations on the basis of usage.
Architecture and construction The external envelope of CORE has two different types of curtain wall, depending on the planned function of the interior. The work and hospitalisation spaces are protected by glazed façades with extruded aluminium profiles with thermal breaks and layered, low emission double glazing. Screening is provided by full height, adjustable external blinds and enamelled glass with insulating interior panels. The ground floor section of the façade is set slightly back from the upper levels. The corner sections, housing the four stairwells, are built with face brick to create a contrast with the light, glazed elevations and to fit in with the architectural style of the existing hospital. To help reduce noise levels, the building
is crowned by a metal structure; a grid juts out to provide shading for the top floor and the utilities on the roof are protected
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