ARCHITECTURE
reconsidered the aforementioned organisations due to the squarer form of the layout given. So it was proposed that the internment
boxes would be arranged towards the perimeter of the available space in order to ensure that all of them enjoy natural lighting. It is from this decision that the architectural parti began, taking the form of two separate rings with the services located towards the centre, one larger and the other smaller, where doctors decide how to distribute the different pathologies and complexities according to their medical criteria. The new ICU consists of two rings
totalling 42 beds distributed on 36 individual boxes, except for double boxes on the corners, most of them with glass sliding doors and also having natural light via external windows in several of them, which were reconditioned according to the new program, placing translucent glass towards the interiors; in this way, privacy is achieved while giving patients the possibility of perceiving the passage of time through periods of natural light, which has a positive effect on patient morale. The incorporation of this service also
required, as a constitutive part of it, special premises destined for the transfer of horizontal patients, trying to reduce the possibilities of contamination within the therapy to a minimum. Likewise, directly connected to the waiting room is the transfer of visits and the family information room.
Centralised service hubs Each of these rings has a centralised service hub and nursing control centres on each of the four corners of the hubs, conforming a panoptical scheme for the optimal observation of the patients through the transparent doors, the glass partition walls of the boxes, vigilance
cameras, and also a centralised control system of multi-parametric information displayed at each patient monitor. Both service hubs are supported by a pneumatic connection with hemotherapy, laboratory, and central pharmacy. Due to the considerable size of the new service, a new pharmacy was introduced on the greatest ring, also counting restrooms, clean and dirty offices, medical living and bedrooms, besides other support rooms that move through a circulation of minor width which goes across the core of the main ring.
All of the common spaces count with a
hot & cold HVAC system (HEPA filters). Likewise, each one of the hospitalisation boxes has particular equipment for air conditioning, equipped with outside air intakes and HEPA filters. A large area of the boxes has the possibility of generating negative or positive pressure compared to the other boxes, in such a way that patients who require it can be hospitalised there. The equipment mentioned counts with access for control and maintenance through the circulations, minimising interference with hospitalisation. The electric installation was distributed
on the technical space over the ceiling, and the electric boards were installed with
their proper protections according to the current A.E.A. (Asociación Electrotécnica Argentina) regulations and particular indications for each sector, all of which are connected to the hospital generator. Taking into account the time that the generator takes to start operating, once the electricity supply is cut, the incorporation of a UPS (Uninterruptible Power Supply) system was planned in such a way that the energy supply would not be interrupted at any time. Each of the boxes has general lighting as well as lighting for medical examinations according to current requirements. With regard to firefighting installations,
in accordance with the general project of the hospital, it was planned that this ICU would be a separate specific area, so fire walls were planned on its perimeter, from the floor to the structure, ensuring the corresponding insulation in each of the necessary technical accesses over the ceiling. This measure foresees that, in the case of fire, they do not pass from one fire zone to another and, in the event that this barrier is overcome, it intends that the passage of fire between one area and another is as slow as possible in order to allow the evacuation of the unit as a final measure, in addition to having sprinklers in all of the rooms.
Project coordinators/managers •Arch. Santiago Carlos Viale Lescano •Arch. Juan Manuel Juarez
Consultants •AC/HVAC: Ingeniería Global – Luis Gonzalez
•Electrical: Soppe Ingeniería – Eng. Walter Soppe
•Medicinal Gases: Rola Ingeniería – Alonso Olazabal, Mario Rodriguez
Collaborators •Arch. Florencia Esteban •Arch. Juan Macías •Arch. Tito Maximiliano Gonza •Arch. Eduardo Storaccio •Arch. Consuelo Salcedo Cornet •Arch. Julieta Astorica •Arch. Maria Vocos Masnilla •Arch. Damian Durando •Arch. Ana Bournot
IFHE DIGEST 2023 69
IFHE
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